Individual provider Active NPI

Aaron Thomas Weidenaar, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1649054065
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1382982 Issued in TX
Practice address
3535 Travis St Ste 160
Dallas, TX 75204-1428
Phone
(214) 346-9105
NPI assigned
Aug 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1382982 TX Primary

Addresses

Primary practice location

3535 Travis St Ste 160
Dallas, TX 75204-1428

Mailing address

2929 Oak Lawn Ave Apt 544
Dallas, TX 75219-5695
Phone (406) 580-1409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231016002934 TX Practitioner - Physical Therapist in Private Practice 4486009180 Reassigns benefits to 1 organization
I20260224002651 FL Practitioner - Physical Therapist in Private Practice 4486009180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Therapy Group LLCGroup PAC ID 6305258013, 69 clinicians
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

205 W Hewett Rd
Watercrest Santa Rosa
Santa Rosa Beach, FL 32459-3322
Phone (850) 741-6715

3535 Travis St
Suite 160
Dallas, TX 75204-1428
Phone (214) 346-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Therapy Group LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Vista JV Partners LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1649054065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 OAK LAWN AVE APT 544",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195695",
            "telephone_number": "406-580-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 TRAVIS ST STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041428",
            "telephone_number": "214-346-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENAAR",
        "first_name": "AARON",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1382982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.