Individual provider Active NPI

John Thomas Weiss, DPT

  • Physical Therapist
  • Mechanicsburg, PA
National Provider Identifier
1811997091
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016441-L Issued in PA
Practice address
1700 Bent Creek Blvd
Suite 120
Mechanicsburg, PA 17050-1870
Phone
(717) 697-4000
Fax
(717) 697-4004
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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 PT016441-L PA Primary

Addresses

Primary practice location

1700 Bent Creek Blvd
Suite 120
Mechanicsburg, PA 17050-1870

Mailing address

1700 Bent Creek Blvd
Suite 120
Mechanicsburg, PA 17050-1870
Phone (717) 697-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000082 PA Practitioner - Physical Therapist in Private Practice 2264400498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Bent Creek Blvd
Mechanicsburg, PA 17050-1870
Phone (717) 697-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016441-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss Physical Therapy Associates CurrentSince Jun 2, 2008 Accepting new patients

Locations

1700 Bent Creek Blvd
Ste 120
Mechanicsburg, PA 17050
Phone (717) 697-4000

Organizations & group practices 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1811997091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD",
            "address_2": "SUITE 120",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "717-697-4000",
            "fax_number": "717-697-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD",
            "address_2": "SUITE 120",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "717-697-4000",
            "fax_number": "717-697-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016441-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.