Provider Demographics
NPI:1629159280
Name:WEISS, RODNEY H (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:H
Last Name:WEISS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SCHANCK RD
Mailing Address - Street 2:STE A-2
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2979
Mailing Address - Country:US
Mailing Address - Phone:732-303-1575
Mailing Address - Fax:732-303-5905
Practice Address - Street 1:55 SCHANCK RD
Practice Address - Street 2:A-6
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2964
Practice Address - Country:US
Practice Address - Phone:732-303-1575
Practice Address - Fax:732-303-5905
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00931700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist