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

Jack Gaffney Weaver

Individual provider Athletic Trainer · NPI 1770457228

Jack Gaffney Weaver is an Athletic Trainer in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5001 Gunpowder Rd
Fairfax, VA 22030-6508
Phone: (571) 230-8525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (VA)
Athletic Trainer Taxonomy 2255A2300X (VA)

Record details

NPI number1770457228
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address5001 Gunpowder Rd, Fairfax, VA 22030-6508

Other providers in Fairfax