MEDICARE: CAROL ANN WEBER DPT, PT

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	PT033077	PA

General Provider Information

NPI Number	:	1316759004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL ANN WEBER DPT, PT

Provider Business Mailing Address
First Line	:	5425 JONESTOWN RD STE 100
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-4086
Country	:	US
Telephone Number	:	717-547-9100
Fax Number	:	717-547-9101

Provider Business Practice Location Address
First Line	:	250 W CHOCOLATE AVE STE 3
Second Line	:
City	:	HERSHEY
State	:	PA
Zip	:	17033-1568
Country	:	US
Telephone Number	:	717-547-9100
Fax Number	:	717-547-9101

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

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	02/05/2025

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Directions to “ CAROL ANN WEBER DPT, PT” Practice Location

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