Diane Marie Weaver, PT
NPI 1215107776ActiveIndividual· Physical Therapist· Bloomington, IL
Physical Therapist (PT) in Bloomington, Illinois, licensed in IL, MA and WI, with an NPI issued in March 2008. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1215107776 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Mar 11, 2008 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070017881 | IL |
| Physical Therapist | 225100000X | 18133 | MA |
| Physical Therapist | 225100000X | 11334-024 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|
Other physical therapists in Bloomington
- 1043610199
- 1134822059
- 1154664639
- 1174531362
- 1326608415
- 1386993285
- 1417340480
- 1437141504
- 1467451450
- 1477881134
- 1528513769
- 1538686852
All 97 physical therapists in Bloomington · All physical therapists in Illinois