Jenna Weitzman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40368 Issued in MA

Practice address

3140 Apron Ave
Atwater, CA 95301-5103

Phone

(209) 356-3736

Fax

(209) 385-3738

NPI assigned

Dec 20, 2013

Last updated

Dec 20, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New England, College of Osteo Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intuitive Health Management and Physical Therapy IncGroup PAC ID 2062946841, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Intuitive Health Management and Physical Therapy Inc

  dba Alliance Physical Therapy

  • Physical Therapist
  • Aptos, CA
  • NPI 1255880449
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1497176242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 APRON AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015103",
            "telephone_number": "209-356-3736",
            "fax_number": "209-385-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 APRON AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015103",
            "telephone_number": "209-356-3736",
            "fax_number": "209-385-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PT40368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Washington
• Shumone Washington
• Jeffrie Glenn Waters, PTA
• Holly Watts
• Robert A. Webb, O.D.
• Chelsea Kathleen Wells
• Western Dental Services, Inc.
• Rebecca R Westling
• Emily Whitesell
• Tyler Wilhelm, PTA

• Physical Therapist in Atwater, CA
• Providers in Atwater, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.