Provider Demographics
NPI:1356707368
Name:NEISS, JESSICA CHERISH WEINBERG (MPT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:CHERISH WEINBERG
Last Name:NEISS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2750 BEECHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2706
Mailing Address - Country:US
Mailing Address - Phone:412-414-1988
Mailing Address - Fax:412-521-1855
Practice Address - Street 1:826 HAZELWOOD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2972
Practice Address - Country:US
Practice Address - Phone:412-414-1988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015872225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist