Provider Demographics
NPI:1891742359
Name:WEBER, CARA A (DPT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:A
Last Name:WEBER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SE 17TH ST # 309-229
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4421
Mailing Address - Country:US
Mailing Address - Phone:352-693-3378
Mailing Address - Fax:888-758-9645
Practice Address - Street 1:5036 SE 110TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-3759
Practice Address - Country:US
Practice Address - Phone:352-693-3378
Practice Address - Fax:888-759-9645
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-015002225100000X
IA03918225100000X
FLPT28856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT28856OtherSTATE OF FLORIDA
IA03918OtherSTATE OF IOWA
IL070-015002OtherILLINOIS PT LICENSE NO