Jennifer Marie Dibert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE002703L Issued in PA

Practice address

1798 Old Route 220 N
Suite 103
Duncansville, PA 16635-8341

Phone

(814) 696-3400

Fax

(814) 696-3402

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By 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

Other names 1

• Miss Jennifer Marie Weaver Former name

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568533875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MILL ST",
            "city": "WOODBURY",
            "state": "PA",
            "postal_code": "166959432",
            "telephone_number": "814-766-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 OLD ROUTE 220 N",
            "address_2": "SUITE 103",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358341",
            "telephone_number": "814-696-3400",
            "fax_number": "814-696-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBERT",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE002703L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEAVER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crossroads Physical Therapy and Rehabilitation, Inc.
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Sandra L Custer, CRS
• Vicki Rae Davis, RN
• Miriam Defay, PT
• Merrisa Dibert
• Ronald C Dick, R.PH.
• Matthew Thomas Dillon, LPC
• Discovery House BC LLC (Duncansville Comprehensive Treatment Center)
• Krystal D Disney, PTA

• Physical Therapy Assistant in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.