Active NPI
Kathy Irvine Weiner, P.T.
- Physical Therapist
- Simi Valley, CA
National Provider Identifier
1881867166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 13831
- Practice address
- 2840 E Los Angeles Ave
Simi Valley, CA 93065-3937 - Phone
- (805) 526-8360
- Fax
- (805) 526-1438
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT 13831 | CA | Primary |
Addresses
Primary practice location
2840 E Los Angeles Ave
Simi Valley, CA 93065-3937
Mailing address
3075 E Thousand Oaks Blvd
Suite 30
Thousand Oaks, CA 91362-3402
Phone (805) 230-8292
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 |
|---|---|---|---|
| PT 13831 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1881867166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 E THOUSAND OAKS BLVD",
"address_2": "SUITE 30",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913623402",
"telephone_number": "805-230-8292",
"fax_number": "805-230-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653937",
"telephone_number": "805-526-8360",
"fax_number": "805-526-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "KATHY",
"middle_name": "IRVINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 13831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.