Organization Active NPI

Weaver & Associates Inc

Doing business as North Hagerstown Rehabilitation

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1720011448
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21186 Issued in MD
Legal business name
WEAVER & ASSOCIATES INC
Doing business as
North Hagerstown Rehabilitation
Practice address
580 Northern Ave Ste F
Hagerstown, MD 21742-2847
Phone
(301) 745-8915
Fax
(301) 745-8916
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Mr. Joel L Weaver, PTA
Title
President
Phone
(301) 745-8915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 21186 MD Primary

Addresses

Primary practice location

580 Northern Ave Ste F
Hagerstown, MD 21742-2847

Mailing address

580 Northern Ave Ste F
Hagerstown, MD 21742-2847
Phone (301) 745-8915

Other identifiers 2

IdentifierTypeStateIssuer
412893100MedicaidMD
P00222631OtherMDMEDICARE RAILROAD

Other names 1

  • North Hagerstown Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

50 Souder Rd
Brunswick, MD 21716
Phone (301) 834-6898

580 Northern Ave
Ste F
Hagerstown, MD 21742
Phone (301) 745-8915

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1720011448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NORTHERN AVE STE F",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422847",
            "telephone_number": "301-745-8915",
            "fax_number": "301-745-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NORTHERN AVE STE F",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422847",
            "telephone_number": "301-745-8915",
            "fax_number": "301-745-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-745-8915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412893100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00222631",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hagerstown Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.