Mark L Weaver, PT | |
317 N. Faler Ave, Pinedale, WY 82941 | |
(307) 367-6236 | |
(307) 367-3332 |
Full Name | Mark L Weaver |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 317 N. Faler Ave, Pinedale, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801949045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-642 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proactive Physical Therapy Pc | 0648171462 | 9 |
Provider Name | Proactive Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184814345 PECOS PAC ID: 0648171462 Enrollment ID: O20040115000642 |
Mailing Address | Practice Location Address |
---|---|
Mark L Weaver, PT Po Box 1037, Pinedale, WY 82941-1037 Ph: (307) 367-6236 | Mark L Weaver, PT 317 N. Faler Ave, Pinedale, WY 82941 Ph: (307) 367-6236 |
Christen Elaine Thonhoff, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Proactive Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Ms. Stephanie Megan Bruce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N. Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Erica Anne Walrath, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N. Faler Ave., Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Amy J. Hughes, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N. Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Mrs. Terri Dever Neal, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 317 N Faler Ave, Pinedale, WY 82941 Phone: 307-367-6236 Fax: 307-367-3332 | |
Allison Ruddle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 W Wilson St # 8, Pinedale, WY 82941 Phone: 307-367-3452 |