Individual provider Active NPI

Jason Duane Weaver, DPT

  • Physical Therapist
  • Wetumpka, AL
National Provider Identifier
1790068757
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6267 Issued in AL
Practice address
277 Huntress St
Wetumpka, AL 36092-3329
Phone
(334) 361-4711
Fax
(334) 361-8219
NPI assigned
Sep 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6267 AL Primary

Addresses

Primary practice location

277 Huntress St
Wetumpka, AL 36092-3329

Mailing address

PO Box 392573
Pittsburgh, PA 15251-9573
Phone (205) 688-4472

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911000494 AL Practitioner - Physical Therapist in Private Practice 7012280282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aldridge Physical Therapy, LLCGroup PAC ID 2466542923, 22 clinicians

Practice addresses (Care Compare)

2523 US Hwy 80 W
Selma, AL 36701-2413
Phone (334) 875-2960

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as individual
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldridge Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2017 Accepting new patients
Rehab Associates, LLC Past Accepting new patients
Rehab Associates, LLC Physical Therapist Past Accepting new patients

Locations

2408 E University Dr
Ste 106
Auburn, AL 36830
Phone (334) 275-4636

323 Greenville Byp
Ste C
Greenville, AL 36037
Phone (334) 665-4368

459 E Main St
Prattville, AL 36067
Phone (334) 356-6107

2523 US Highway 80 W
Selma, AL 36701
Phone (334) 875-2960

501 Trojan Pkwy
Ste B
Troy, AL 36079
Phone (334) 465-6070

277 Huntress St
Wetumpka, AL 36092
Phone (334) 277-3332

8215 W 108th Ter
Overland Park, KS 66210

430 Innovation Dr
Blairsville, PA 15717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1790068757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "205-688-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HUNTRESS ST",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360923329",
            "telephone_number": "334-361-4711",
            "fax_number": "334-361-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JASON",
        "middle_name": "DUANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.

Verify at the official NPI Registry.