Active NPI
Kaitlin Muriel Weisman, LPTA
- Physical Therapy Assistant
- Cottage Grove, OR
National Provider Identifier
1821337726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 08892
- Practice address
- 515 Grant Ave
Cottage Grove, OR 97424-2967 - Phone
- (541) 942-5528
- NPI assigned
- Feb 12, 2013
- 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 Therapy Assistant | 225200000X | 08892 | OR | Primary |
Addresses
Primary practice location
515 Grant Ave
Cottage Grove, OR 97424-2967
Mailing address
2300 Norkenzie Rd
#20
Eugene, OR 97401-1772
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08892 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1821337726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 NORKENZIE RD",
"address_2": "#20",
"city": "EUGENE",
"state": "OR",
"postal_code": "974011772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 GRANT AVE",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242967",
"telephone_number": "541-942-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISMAN",
"first_name": "KAITLIN",
"middle_name": "MURIEL",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "08892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.