Avery Anne Weiss, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1901 Babcock Rd
San Antonio, TX 78229-4554

Phone

(210) 680-5033

Fax

(210) 680-6094

NPI assigned

Jun 27, 2022

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southlake BNPT Investment LLCGroup PAC ID 5991136095, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southlake BNPT Investment LLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1205468683
  Medicare reassignment Care Compare group
• Professional Therapy Services of Texas, Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1013921444
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1912639113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CANYON RUN BLVD",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773202013",
            "telephone_number": "936-661-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294554",
            "telephone_number": "210-680-5033",
            "fax_number": "210-680-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "AVERY",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lynn Weise, RPH
• Travis L Weishaar
• Olivia Weisinger, PT
• Weiss Neuro Therapy & Wellness
• Andrea Weiss
• Deborah Weiss, BA,MPT,MSCS
• Kathleen Lapey Weiss, PH.D.
• Mary Jane Weiss
• Thomas R Weiss, MD
• William Weiss, FNP

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.