Provider Demographics
NPI:1427345008
Name:WEISS, ELIZABETH FRANCES (PT, DPT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FRANCES
Last Name:WEISS
Suffix:
Gender:F
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 1:3215 MEIGS RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996-2113
Mailing Address - Country:US
Mailing Address - Phone:254-931-0509
Mailing Address - Fax:
Practice Address - Street 1:5 ST MARKS PLACE
Practice Address - Street 2:
Practice Address - City:FORT MONTGOMERY
Practice Address - State:NY
Practice Address - Zip Code:10922
Practice Address - Country:US
Practice Address - Phone:845-859-4110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48807225100000X
TX1216593225100000X
CO11311225100000X
NM42902251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics