Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fenta R Weaver, PTA

Individual provider Physical Therapy Assistant · NPI 1558070185

Fenta R Weaver, PTA is a Physical Therapy Assistant in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1 Lbj Sr Dr
Fort Walton Beach, FL 32547
Phone: (850) 863-2066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 22798 (FL)

Record details

NPI number1558070185
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 16, 2022
Mailing address1729 Colonial Ct, Ft Walton Bch, FL 32547-6883

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