MEDICARE: DR. HANA WEAVER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL27932	MA
2	225100000X	Physical Therapist	055763	NY

General Provider Information

NPI Number	:	1205766128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANA WEAVER PT, DPT

Provider Business Mailing Address
First Line	:	75 VANDERBILT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2604
Country	:	US
Telephone Number	:	718-629-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 VANDERBILT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2604
Country	:	US
Telephone Number	:	718-629-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	06/20/2026

Similar Medicare Providers

1013902303 — SISTERS OF CHARITY HEALTH CARE SYSTEMS NH INC
Practice Location Address:

155 VANDERBILT AVE
STATEN ISLAND, NY
10304-2604

Practice Phone: 718-876-1355
Practice Fax: 718-876-4426

1841233178 — GAMZEL NY, INC
Practice Location Address:

75 VANDERBILT AVE FL 3
STATEN ISLAND, NY
10304-2604

Practice Phone: 718-629-1000
Practice Fax: 718-629-1200

1982611125 — DR. SUZY BIBAWY M.D.
Practice Location Address:

75 VANDERBILT AVE
STATEN ISLAND, NY
10304-2604

Practice Phone: 718-818-6000
Practice Fax:

1861590267 — RICHMOND PHYSICIAN ASSOCIATES PC
Practice Location Address:

75 VANDERBILT AVE
STATEN ISLAND, NY
10304-2604

Practice Phone: 718-818-5344
Practice Fax: 212-356-4608

1336234350 — JO C DESANTIS MD
Practice Location Address:

75 VANDERBILT AVE , CONTINUING DAY TREATMENT
STATEN ISLAND, NY
10304-2604

Practice Phone: 718-181-5385
Practice Fax:

1639247042 — DONNA M CUGINI NP
Practice Location Address:

135 VANDERBILT AVE
STATEN ISLAND, NY
10304-2604

Practice Phone: 718-447-0701
Practice Fax:

Directions to “ DR. HANA WEAVER PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.