Individual provider Active NPI

Janice Patricia Weinert, PHYSICAL THERAPIST

  • Physical Therapist
  • Rockaway Park, NY
National Provider Identifier
1467755793
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020482-1 Issued in NY
Practice address
12411 Newport Ave
Rockaway Park, NY 11694-1740
Phone
(718) 945-4099
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020482-1 NY Primary

Addresses

Primary practice location

12411 Newport Ave
Rockaway Park, NY 11694-1740

Mailing address

12411 Newport Ave
Rockaway Park, NY 11694-1740
Phone (718) 945-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020482-1NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1467755793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 NEWPORT AVE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941740",
            "telephone_number": "718-945-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 NEWPORT AVE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941740",
            "telephone_number": "718-945-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINERT",
        "first_name": "JANICE",
        "middle_name": "PATRICIA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020482-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.