Weaver Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WEAVER PHYSICAL THERAPY, LLC

Practice address

3960 Route 30
Suite 104
Latrobe, PA 15650-5518

Phone

(724) 532-3422

Fax

(724) 532-3424

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brock Andrew Weaver, DPT

Title

President/Owner

Phone

(724) 532-3422

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• In Sync Rehabilitation Services Doing business as

Tax ID family

In Sync Rehabilitation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Weaver Physical Therapy, LLC

  • Physical Therapist
  • Latrobe, PA
  • NPI 1154094068
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Leo Fries, M.P.T.

  • Physical Therapist
  • Altoona, PA
  • NPI 1700978814
  NPD (past)
• Floyd Franklin Mechling III, PT

  • Physical Therapist
  • Greensburg, PA
  • NPI 1881672657
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1760427066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 ROUTE 30",
            "address_2": "SUITE 104",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505518",
            "telephone_number": "724-532-3422",
            "fax_number": "724-532-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 ROUTE 30",
            "address_2": "SUITE 104",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505518",
            "telephone_number": "724-532-3422",
            "fax_number": "724-532-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-532-3422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS PT",
            "identifier": "826724",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE/AMERICA",
            "identifier": "116772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS OT",
            "identifier": "1472545",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS SLP",
            "identifier": "541068",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0619112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9841133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Sync Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas D Ward, M.D.
• Samantha Wargo
• Kurt Washnock, DMD
• Stefani Jean Wasil, LPC. NCC
• Weaver Physical Therapy, LLC
• Brock Andrew Weaver, DPT
• James Scott Weaver, R.PH.
• Stacy Weigel
• Michael Weinberg, MD
• Marissa Weir, PA-C

• Physical Therapist in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.