Provider Demographics
NPI:1487700282
Name:WEISSMAN, ALLISON JOY (PT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JOY
Last Name:WEISSMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7622 NW 127TH MNR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4217
Mailing Address - Country:US
Mailing Address - Phone:954-993-8025
Mailing Address - Fax:954-747-5290
Practice Address - Street 1:902 NE 1ST ST # 9
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6339
Practice Address - Country:US
Practice Address - Phone:954-993-8025
Practice Address - Fax:954-747-5290
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889956800Medicaid