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

Jordan Weaver

Individual provider Physical Therapist · NPI 1770313975

Jordan Weaver is a Physical Therapist in Private Practice in Elizabethtown, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Legacy Physical Therapy LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
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Practice location Address checks out

920 S Spruce St
Elizabethtown, PA 17022-2758
Phone: (717) 415-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT032499 (PA)

Record details

NPI number1770313975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2024
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024
Mailing address920 S Spruce St, Elizabethtown, PA 17022-2758

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Legacy Physical Therapy Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elizabethtown