KEVIN WEAVER PT PC (NPI# 1770971889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770971889 |
| Entity Type | Organization |
| Organization Name | KEVIN WEAVER PT PC |
| Other Organization Name | ACADEMY PT |
| Practice Address |
1160 5th Ave Ste 103 New York NY 10029-6928 |
| Mailing Address |
2453 Farmers Ave Bellmore NY 11710-3814 |
| Practice Telephone | 2124264700 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Authorized Official Name | MR. KEVIN C WEAVER (PRESIDENT) |
| Authorized Official Telephone | 5167078606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0115531 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Academy PT | Doing Business As Name - Organization |
| Street Address |
1160 5TH AVE STE 103 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319947 | Kim Patricia Miller | Clinical Neuropsychologist | 1160 5th Ave, Apt 112, New York, NY 10029-6933 | 2005-07-13 |
| 1013499425 | Aliza Romirowsky | Psychologist | 1160 5th Ave, New York, NY 10029-6928 | 2018-08-31 |
| 1013499748 | Catherine Stieglitz | Social Worker | 1160 5th Ave, New York, NY 10029-6928 | 2018-08-29 |
| 1811431257 | Sarah B. Friedman, Psy D. | Psychologist | 1160 5th Ave, Suite 101, New York, NY 10029-6928 | 2016-12-04 |
| 1275082109 | Acadia Physical Therapy | Physical Therapist | 1160 5th Ave, Suite 103, New York, NY 10029-6928 | 2016-10-04 |
| 1710369921 | Manhattan Psychology Group, PC | Psychologist | 1160 5th Ave, #104, New York, NY 10029-6928 | 2015-06-24 |
| 1750768198 | Ronjon Banerjee | Psychiatry & Neurology | 1160 5th Ave, New York, NY 10029 | 2015-05-06 |
| 1013318526 | Shou-an Liu | Physical Therapist | 1160 5th Ave, Suite 103, New York, NY 10029-6928 | 2014-09-16 |
| 1689008666 | Leah Tamar Cahn | Social Worker | 1160 5th Ave, New York, NY 10029-6928 | 2013-08-27 |
| 1780940825 | Hadi Samaneh | Physical Therapist | 1160 5th Ave, New York, NY 10029-6928 | 2012-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089357 | Sara Mikulsky Wellness Physical Therapy, Pllc | Clinic/Center | 341 E 116th St, New York, NY 10029-1502 | 2020-06-29 |
| 1063037125 | Forza Physical Therapy Pllc | Clinic/Center | 225 E 95th St Apt 17a, New York, NY 10128-4006 | 2020-06-14 |
| 1982229449 | Steven Roman | Clinic/Center | 1420 Amsterdam Ave Apt 4b, New York, NY 10027-8011 | 2020-06-10 |
| 1720612989 | Chloe Starr Physical Therapy & Fitness Pllc | Clinic/Center | 33 Carmine St # 2, New York, NY 10014-4428 | 2020-02-26 |
| 1295374965 | Emerald City Medical PC | Clinic/Center | 130 E 40th St # 1002, New York, NY 10016-0941 | 2019-12-30 |
| 1134768112 | Range of Motion LLC | Clinic/Center | 605 Madison Ave Fl 4, New York, NY 10022-1738 | 2019-12-23 |
| 1922643683 | Megan Wise Pt Pllc | Clinic/Center | 554 5th Ave Fl 3, New York, NY 10036-5004 | 2019-11-16 |
| 1346884913 | Yekaterina Shubova Pt | Clinic/Center | 227 Mulberry St Bsmt, New York, NY 10012-4126 | 2019-11-06 |
| 1710521588 | Shawn Monahan Physical Therapy, Pllc | Clinic/Center | 256 West St, New York, NY 10013-2014 | 2019-11-04 |
| 1447800289 | Coast Rehab Nyc, LLC | Clinic/Center | 883 Avenue of The Americas Fl 3, New York, NY 10001-3501 | 2019-09-13 |
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| 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.