Jacqueline S Weaver

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2068689 Issued in TX

Practice address

149 Klattenhoff LN
Hutto, TX 78634-4638

Phone

(512) 840-7000

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1508347196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SILVER TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 KLATTENHOFF LN",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344638",
            "telephone_number": "512-840-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2068689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulia Vela-Cadena, LPC
• Kaitlin Villanueva
• Walgreen Co.
• Matthew Stephen Ward, RN
• Wais Patan Wardag, MD
• Shannon Maureen Welch
• Chloe Qiaoming Weng, REGISTERED DIETITIAN
• Lisa Anne White, LCSW
• Quinetta Whitley
• Kathleen Wieman, PHARM.D.

• Physical Therapy Assistant in Hutto, TX
• Providers in Hutto, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.