Jerry Webber, LAT, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT00167A Issued in PA

Practice address

3003 Elizabethtown Rd
Hershey, PA 17033-9323

Phone

(717) 835-0700

Fax

(717) 835-0702

NPI assigned

Nov 14, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1922438779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 ELIZABETHTOWN RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339323",
            "telephone_number": "717-835-0700",
            "fax_number": "717-835-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 ELIZABETHTOWN RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339323",
            "telephone_number": "717-835-0700",
            "fax_number": "717-835-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "JERRY",
        "credential": "LAT, ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT00167A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter N Waybill, MD
• Taryn Weatherly, MD
• Anne S Weaver, PA-C
• Terrell Weaver, PA-C
• Mandy M Webb, MSPT
• Barbara Weber, SLP
• Carol Ann Weber, DPT, PT
• Douglas Weber, MD
• Hannah Elizabeth Weber
• Howard S Weber, MD

• Athletic Trainer in Hershey, PA
• Providers in Hershey, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.