Kevin C Weaver, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

011553 Issued in NY

Practice address

12 E 97TH St # 1C
New York, NY 10029-6918

Phone

(212) 426-4700

Fax

(212) 426-0006

NPI assigned

Oct 25, 2006

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Group practices

New York Luna Care Physical Therapy PLLCGroup PAC ID 0840604666, 62 clinicians

Gaetano Lombardo, PT, PCGroup PAC ID 1254431182, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Gaetano Lombardo, PT, PC

  • Physical Therapist
  • New York, NY
  • NPI 1992836183

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Kevin Weaver PT PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1770971889

  Orthopedic

  Medicare reassignment NPD Authorized official
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment Care Compare group NPD
• Kevin Weaver PTPC

  • Physical Therapist
  • New York, NY
  • NPI 1568594349
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1851475974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 FARMERS AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "11710",
            "telephone_number": "516-707-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 97TH ST # 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296918",
            "telephone_number": "212-426-4700",
            "fax_number": "212-426-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "011553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Noel Weaver, FNP-BC, MSN, RN
• Haleigh Shea Weaver
• Hana Weaver, PT, DPT
• Isabelle Weaver
• Joshua Jason Weaver, MD
• Solomon Weaver, PMHNP-BC
• Valerie C Weaver, LCSW
• Alicia Webb Scott, PH.D.
• Carrie Webb-Bearak, PHD
• Alexandra Webb, LCSW

• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.