Active NPI
Michele Busic Weaver, MS, PT
- Physical Therapist
- Mentor, OH
National Provider Identifier
1649436023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-08201
- Practice address
- 9435 Deer Holw
Mentor, OH 44060-1655 - Phone
- (440) 478-4919
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-08201 | OH | Primary |
Addresses
Primary practice location
9435 Deer Holw
Mentor, OH 44060-1655
Mailing address
9435 Deer Holw
Mentor, OH 44060-1655
Phone (440) 478-4919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
PO Box
Lafayette, LA 70505
PO Box
Suite 51266
Lafayette, LA 70505-1266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-08201 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Physical Therapy Services of Mayfield Heights, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Richmond Heights, OH
- NPI 1982361598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1649436023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9435 DEER HOLW",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601655",
"telephone_number": "440-478-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9435 DEER HOLW",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601655",
"telephone_number": "440-478-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "MICHELE",
"middle_name": "BUSIC",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-08201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.