NOLAN WEAVER (NPI# 1942821913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942821913 |
| Entity Type | Individual |
| Full Name | NOLAN WEAVER |
| Credential | DPT |
| Practice Address |
1426 Frankford Ave Philadelphia PA 19125-4410 |
| Mailing Address |
4826 Silverwood St Philadelphia PA 19128-4544 |
| Practice Telephone | 2154276024 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT028404 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1426 FRANKFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
| 1508337668 | Michael Hegarty | Physical Therapist | 2000 Hamilton St Ste 211, Philadelphia, PA 19130-3814 | 2018-12-16 |
| 1427536283 | Allison Dastugue | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-08-03 |
| 1770061590 | Philip Zhu | Physical Therapist | 1608 Walnut St Ste 200, Philadelphia, PA 19103-5426 | 2018-08-02 |
| 1780160713 | Jason Drott | Physical Therapist | 9337 Krewstown Rd # 39, Philadelphia, PA 19115-3710 | 2018-07-12 |
| 1508363508 | Shannon Riley | Physical Therapist | 517 S 4th St, Philadelphia, PA 19147-1569 | 2018-04-07 |
| 1922522036 | Evan Vasilauskas | Physical Therapist | 2000 Hamilton St Ste 202, Philadelphia, PA 19130-3849 | 2017-07-31 |
| 1124557681 | Erin Saucier | Physical Therapist | 601 Walnut St Ste 647, Philadelphia, PA 19106-3323 | 2017-06-08 |
| 1104182849 | Kevin Kubinski | Physical Therapist | 9337 Krewstown Rd, Philadelphia, PA 19115-3710 | 2012-04-06 |
| 1265563076 | Regional Physical Therapy Asscoiates | Physical Therapist | 637 S 52nd St, Philadelphia, PA 19143-2630 | 2007-03-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
Please comment or provide details below to improve the information on NOLAN WEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.