Andrew Weiss, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19643 Issued in MA

Practice address

540 Gallivan Blvd
Dorchester Center, MA 02124-5400

Phone

(617) 282-1200

Fax

(617) 282-9988

NPI assigned

Jul 21, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1619265881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-5053",
            "fax_number": "617-984-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GALLIVAN BLVD",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245400",
            "telephone_number": "617-282-1200",
            "fax_number": "617-282-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Furman M Walls III, MD
• Ward and Smith Partnership
• Derek Washington
• Stephanie Webbe
• Laura Weiner
• Well at Home Care
• Maureen W White, PA-C
• Martin J Williams, MD
• Willie J. Cater, M.D. P.C.
• Joy Willis

• Physical Therapist in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.