Jason Jeremy Weber, PTA
Individual provider Active NPI Physical Therapy Assistant · Kenneth City, FL
NPI 1992079792 · NPPES record last updated Feb 27, 2012
Key facts
- NPI
- 1992079792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA20342 (FL)
- Practice address
- 4250 66TH St N
Kenneth City, FL 33709-4918 - Phone
- (727) 546-2405
- NPI assigned
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA20342 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA20342 | FL | Yes |
Addresses
Primary practice location
4250 66TH St N
Kenneth City, FL 33709-4918
Mailing address
337 37TH St S
St Petersburg, FL 33711-1601
Phone (727) 518-4757
Other providers in Kenneth City, FL
- Tampa Bay Care Solutions, LLC
- Taterik Properties LLC
- Verlyrose Christine Taruc Torres
- Rosmeury Venero Rodriguez
- Elizabeth Watson
- Kathryn S. Wefel
- Kelly Marie Wemken
- Dawn Willey Earls
- Dawn M Williams
- Rena Gentle Hope Williams
All providers in Kenneth City, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.