Active NPI
Lisa M Weiss, PT, DPT, ATC, CSCS
- Physical Therapist
- Vero Beach, FL
National Provider Identifier
1720590540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33166
- Practice address
- 780 US 1 Unit 201
Vero Beach, FL 32962-1662 - Phone
- (772) 567-7777
- Fax
- (772) 567-7777
- NPI assigned
- Nov 2, 2017
- Last updated
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 | PT33166 | FL | Primary |
Addresses
Primary practice location
780 US 1 Unit 201
Vero Beach, FL 32962-1662
Mailing address
780 US 1 Unit 201
Vero Beach, FL 32962-1662
Phone (772) 567-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
780 US
1 Unit 201
Vero Beach, FL 32962-1662
Phone (772) 567-7777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33166 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan M Wells DC PLLC | Current | Accepting new patients | |
| Ted H Perkins P a | Current | Accepting new patients |
Locations
780 US Highway 1
Unit 201
Vero Beach, FL 32962
Phone (772) 567-7777
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1720590540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 US 1 UNIT 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329621662",
"telephone_number": "772-567-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 US 1 UNIT 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329621662",
"telephone_number": "772-567-7777",
"fax_number": "772-567-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.