Active NPI
Karissa Ann Weaver, PT, DPT
- Physical Therapist
- West Valley City, UT
National Provider Identifier
1760179931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2830 S Redwood Rd Ste a
West Valley City, UT 84119-5626 - Phone
- (801) 233-6100
- NPI assigned
- Apr 19, 2023
- 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 | Primary |
Addresses
Primary practice location
2830 S Redwood Rd Ste a
West Valley City, UT 84119-5626
Mailing address
13182 S Vista Station Blvd
Apt B124
Draper, UT 84020
Other practice location 1
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1760179931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13182 S VISTA STATION BLVD",
"address_2": "APT B124",
"city": "DRAPER",
"state": "UT",
"postal_code": "84020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 S REDWOOD RD STE A",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841195626",
"telephone_number": "801-233-6100"
}
],
"practiceLocations": [
{
"address_1": "5121 S Cottonwood St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841075701",
"country_code": "US",
"telephone_number": "801-507-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "KARISSA",
"middle_name": "ANN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.