Tina Weaver, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1332 Issued in ME

Practice address

15 Casco St
Freeport, ME 04033-1850

Phone

(207) 523-8550

NPI assigned

Jan 27, 2023

Sex

Female

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 ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ube Physical Therapy and Performance LLC

  • Physical Therapy Clinic/Center
  • Bangor, ME
  • NPI 1508226119
  Medicare reassignment
• Back in Motion Physical Therapy, LLC

  • Physical Therapist
  • Gorham, ME
  • NPI 1821165960
  NPD
• Intermed, PA

  • Pediatrics Physician
  • South Portland, ME
  • NPI 1295607836

  Physical Therapist

  NPD
• Intermed, PA

  • Internal Medicine Physician
  • South Portland, ME
  • NPI 1467422733

  Physical Therapist

  NPD
• Intermed, PA

  • Physical Therapist
  • South Portland, ME
  • NPI 1578952446
  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1902512361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CASCO ST",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040331850",
            "telephone_number": "207-523-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 State St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046051850",
            "country_code": "US",
            "telephone_number": "207-667-4278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Foden Rd",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041061718",
            "country_code": "US",
            "telephone_number": "207-780-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Idexx Dr",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040922040",
            "country_code": "US",
            "telephone_number": "207-556-6802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 Main St",
            "address_purpose": "LOCATION",
            "city": "Yarmouth",
            "state": "ME",
            "postal_code": "040966723",
            "country_code": "US",
            "telephone_number": "207-780-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "ME",
            "postal_code": "040331850",
            "country_code": "US",
            "telephone_number": "207-523-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Bell Wagner, PNP
• Elizabeth E Walker, MA
• Meredith Wall, PA-C
• Gina Warren, NTP, RWP
• Corie Washow
• Well Woman Clinic, PLLC
• Joseph H Wetherhold, DMD
• Jessica Whitten, LCPC
• Lorien Courtenay Snellings Whitten, LCPC
• Renee D. Williams, LCSW

• Physical Therapist in Freeport, ME
• Providers in Freeport, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.