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

Mr. Gregory Allen Weaver, LPTA

Individual provider Physical Therapy Assistant · NPI 1639415680

Mr. Gregory Allen Weaver, LPTA is a Physical Therapy Assistant in Oak Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

520 S Maple Ave
Oak Park, IL 60304
Phone: (708) 660-3800
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.004026 (IL)

Record details

NPI number1639415680
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedDecember 19, 2012
Last updated in NPPESDecember 19, 2012

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