Brian Ira Weisman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18749 Issued in MD

Practice address

801 Toll House Ave Ste H3
Frederick, MD 21701-6117

Phone

(240) 575-9380

NPI assigned

Aug 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Canyon LLCGroup PAC ID 1052618352, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1952768673
  Medicare reassignment NPD
• Red Canyon, LLC

  • Physical Therapist
  • Martinsburg, WV
  • NPI 1841872405
  Medicare reassignment NPD
• Life Fitness Physical Therapy of Towson, LLC

  • Physical Therapist
  • Lutherville, MD
  • NPI 1134134893
  NPD (past) Authorized official
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)
• Life Fitness Physical Therapy of Eastpoint, LLC

  • Physical Therapist
  • Baltimore, MD
  • NPI 1518014000
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1992711634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUSINESS CENTER DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361230",
            "telephone_number": "410-833-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE STE H3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016117",
            "telephone_number": "240-575-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "BRIAN",
        "middle_name": "IRA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7446385",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weis Markets Inc
• Weis Markets Inc
• Weis Markets Inc
• Caitlin Weisbarth, SLP/A
• Kathy Jane Weishaar, MD
• Lauren Muriel Weiss, OTR/L
• Leslie Weitzel-Nicoll, LCSW-C
• Tammy L Welch, PAC
• Well Eyecare Physician LLC
• Well Timed Healthcare LLC

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.