Active NPI
Weaver & Associates Inc
Doing business as North Hagerstown Rehabilitation
- Physical Therapist
- Hagerstown, MD
National Provider Identifier
1720011448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21186
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412893100 | Medicaid | MD | |
| P00222631 | Other | MD | MEDICARE RAILROAD |
Other names 1
- North Hagerstown Rehabilitation
National Provider Directory
National Provider DirectoryLocations
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.