| Jordan Weaver, | |
|
920 S Spruce St, Elizabethtown, PA 17022-2758 | |
| (717) 415-0313 | |
| Not Available |
| Full Name | Jordan Weaver |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 920 S Spruce St, Elizabethtown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770313975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT032499 (Pennsylvania) | Primary |
| Provider Name | Legacy Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093494197 PECOS PAC ID: 0840649950 Enrollment ID: O20231214003345 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Weaver, 920 S Spruce St, Elizabethtown, PA 17022-2758 Ph: (717) 415-0313 | Jordan Weaver, 920 S Spruce St, Elizabethtown, PA 17022-2758 Ph: (717) 415-0313 |
Bryan M Hoyt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 626 S. Market Street, Elizabethtown, PA 17022 Phone: 717-361-7414 Fax: 717-361-7443 | |
Joshua David Pasek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1070 Dairy Ln, Elizabethtown, PA 17022 Phone: 717-361-7489 Fax: 717-361-7528 | |
Lauren Ann Martin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1070 Dairy Ln, Elizabethtown, PA 17022 Phone: 717-560-2917 Fax: 717-560-2985 | |
Kelly T Wieand, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 S Market St, Elizabethtown, PA 17022 Phone: 717-367-1377 Fax: 717-367-1290 | |
Gregory Norman Turner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 920 S Spruce St, Elizabethtown, PA 17022 Phone: 717-415-0313 Fax: 717-388-8768 | |
Benjamin Andrew Zelner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1070 Dairy Ln, Elizabethtown, PA 17022 Phone: 717-361-7489 Fax: 717-361-7528 | |
Legacy Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 920 S Spruce Street, Elizabethtown, PA 17022 Phone: 814-404-7750 |