Individual provider Active NPI

Michele Busic Weaver, MS, PT

  • Physical Therapist
  • Mentor, OH
National Provider Identifier
1649436023
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-08201 Issued in OH
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

Updated by the provider on Aug 5, 2008

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 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

Enrollment IDStateProvider typePAC IDDetails
I20260302001065 OH Practitioner - Physical Therapist in Private Practice 5597247478 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT-08201OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physical Therapy Services of Mayfield Heights, LLC Physical Therapist CurrentSince Jan 3, 2026 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.

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.

Verify at the official NPI Registry.