=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487700282
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLISON JOY WEISSMAN P.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2007
-----------------------------------------------------
Last Update Date | 12/27/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 902 NE 1ST ST # 9
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33060-6339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-993-8025
-----------------------------------------------------
Fax | 954-747-5290
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7622 NW 127TH MNR
-----------------------------------------------------
City | PARKLAND
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33076-4217
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-993-8025
-----------------------------------------------------
Fax | 954-747-5290
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT16638
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------