Provider Demographics
NPI:1427455609
Name:WEINGARTEN, JENNIFER YONG (PT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:YONG
Last Name:WEINGARTEN
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10127 DALMATIAN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4895
Mailing Address - Country:US
Mailing Address - Phone:917-751-0863
Mailing Address - Fax:
Practice Address - Street 1:14955 SHADY GROVE RD STE 230
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8701
Practice Address - Country:US
Practice Address - Phone:301-881-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037898225100000X
MD30318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist