Active NPI
Leah Anne Weaver
- Physical Therapist
- Niles, OH
National Provider Identifier
1760969067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026868
- Practice address
- 2567 Niles Vienna Rd
Niles, OH 44446-5401 - Phone
- (814) 288-8978
- NPI assigned
- Jul 19, 2018
- 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 | PT026868 | PA | Primary |
Addresses
Primary practice location
2567 Niles Vienna Rd
Niles, OH 44446-5401
Mailing address
2565 Niles Vienna Rd
Niles, OH 44446-4401
Phone (216) 772-1030
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT026868 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1760969067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 NILES VIENNA RD",
"city": "NILES",
"state": "OH",
"postal_code": "444464401",
"telephone_number": "216-772-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2567 NILES VIENNA RD",
"city": "NILES",
"state": "OH",
"postal_code": "444465401",
"telephone_number": "814-288-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "LEAH",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.