Douglas Carl Weaver, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3705 Issued in NH

Practice address

1615 S Federal Hwy
Suite 300
Boca Raton, FL 33432-7468

Phone

(866) 291-3694

NPI assigned

Aug 9, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1962759910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MCCRACKEN RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219590",
            "telephone_number": "570-394-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327468",
            "telephone_number": "866-291-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DOUGLAS",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3705",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8953",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60290244",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1220729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WC Region 6 LLC (Wellness Care)
• We Care Nurse Registry,Inc. (We Care Nurse Registry Of Palm Beach)
• We Care Nursing, LLC
• Weatherall Dermatology, P.a.,
• William M Weathers, RPH
• Wendy Lynn Weaver, LMHC
• Daniel Meir Weber, D.C.
• Miriam Weber, APRN
• Steven Jay Weber, M.D.
• Steven Alan Webster, PTA

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.