Destiny Nicole Weatherton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2096703 Issued in TX

Practice address

98 Briggs St
San Antonio, TX 78224-1286

Phone

(210) 226-9536

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1780097550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 EXPO BLVD APT 1014",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301333",
            "telephone_number": "817-456-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BRIGGS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241286",
            "telephone_number": "210-226-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERTON",
        "first_name": "DESTINY",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2096703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney M Weathers, LVN
• Christina Ann-Colby Weathers, M.A.
• Tayler Weathers
• Naomi Estelle Weatherspoon
• Landry Weatherston-Yarborough
• Michelle Weaver-Htun
• Bret Elsworth Weaver, NATABOC
• Genesius Weaver, MS, LPC-A
• Jeffrey Allen Weaver, M.D.
• Jennifer S Weaver, MD

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.