Jan L Weathers, PT;DPT
Individual provider Active NPI Physical Therapist · Bottineau, ND
NPI 1497138796 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1497138796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1894 (ND)
- Practice address
- 309 2ND St E
Bottineau, ND 58318-1104 - Phone
- (701) 228-3743
- NPI assigned
- Jul 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1894 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace Garden Multi-District Cooperative | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1894 | ND | Yes |
Addresses
Primary practice location
309 2ND St E
Bottineau, ND 58318-1104
Mailing address
309 2ND St E
Bottineau, ND 58318-1104
Phone (701) 228-3743
Other providers in Bottineau, ND
- Kelly D Tiffany
- Savannah K Trottier
- True North Chiropractic, PC
- Wal-Mart Stores, Inc.
- Kristi Walen
- Brittney Lee Weight
- Alison Rose Williams
- Lori Lee Witteman
- Lindsey Wittmayer
All providers in Bottineau, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.