Laura Allen Weavil, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12503 Issued in NC

Practice address

1730 Kernersville Medical Pkwy Ste 201
Kernersville, NC 27284-7198

Phone

(336) 996-7001

Fax

(336) 996-0832

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lweavil840382@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment NPD
• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)
• Physical Therapy of the Triad, Corp.

  • Physical Therapist
  • High Point, NC
  • NPI 1790096485
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1477935617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "336-996-7001",
            "fax_number": "336-996-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 KERNERSVILLE MEDICAL PKWY STE 201",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847198",
            "telephone_number": "336-996-7001",
            "fax_number": "336-996-0832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Kernersville Medical Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272847198",
            "country_code": "US",
            "telephone_number": "336-996-7001",
            "fax_number": "336-996-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN WEAVIL",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lweavil840382@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1730 Kernersville Medical Pkwy Ste 201",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272847198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bree Alexander Richardson
• Jason S. Alford, FNP-C
• Nicole Ridgill Alford, MSW LCSW
• Aligned Health and Wellness PLLC
• Alyssa Alin
• Kaitlyn Allen
• Katrina Allen
• Lindsay Allen
• Sharon Denise Allen, CPNP
• Carly Rose Alloco

• Physical Therapist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.