Shaun G Weeden, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00262700 Issued in NJ

Practice address

218 E Broad St FL 2
Westfield, NJ 07090-2120

Phone

(908) 868-5700

NPI assigned

Nov 18, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1801198155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E BROAD ST FL 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E BROAD ST FL 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902120",
            "telephone_number": "908-868-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDEN",
        "first_name": "SHAUN",
        "middle_name": "G",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00262700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "40QB00262700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Paul Warrell Jr., M.D.
• Keshera Warren
• Watchung Institute, Inc.
• Erica Weber, L.C.S.W.
• Kaitlyn Weber, MS, CCC-SLP
• Belle Wei, MS, RD
• Peter John Weigel, M.D.
• Ronald William Weinberg, ED.D.
• Steven B Weinfeld, M.D.
• David Mark Weinman, DMD

• Physical Therapy Assistant in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.