Active NPI
Eric Paul Weaver II, PT
- Physical Therapist
- Miami, FL
National Provider Identifier
1922078112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2008002488
- Practice address
- 8345 Coral Way
Miami, FL 33155-1138 - Phone
- (786) 275-0200
- Fax
- (786) 275-0096
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- 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 Therapist | 225100000X | 2008002488 | MO | Primary |
Addresses
Primary practice location
8345 Coral Way
Miami, FL 33155-1138
Mailing address
7733 Forsyth Blvd
1700
Saint Louis, MO 63105-1817
Phone (800) 677-1238
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008002488 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charla Deiter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1912197948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1922078112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 FORSYTH BLVD",
"address_2": "1700",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051817",
"telephone_number": "800-677-1238",
"fax_number": "786-275-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8345 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551138",
"telephone_number": "786-275-0200",
"fax_number": "786-275-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "ERIC",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2008002488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.