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

Mark L Weaver, PT

Individual provider Physical Therapist · NPI 1801949045

Mark L Weaver, PT is a Physical Therapist in Private Practice in Pinedale, Wyoming. Qualified in 1994, 32 years ago. Practices with Proactive Physical Therapy PC, a 6-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
32
Licensed in
WY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

317 N Faler Ave
Pinedale, WY 82941
Phone: (307) 367-6236
Fax: (307) 367-3332
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-642 (WY)

Record details

NPI number1801949045
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESNovember 17, 2015
Mailing addressPo Box 1037, Pinedale, WY 82941-1037

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Proactive Physical Therapy Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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