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

Patrick D Weaver, PT

Individual provider Physical Therapist · NPI 1124137625

Patrick D Weaver, PT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2005, 21 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group and accepts Medicare assignment.

Years since qualifying
21
In the registry since
2006
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

2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4712
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1124137625
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 25, 2015
Mailing address6500 Bowden Rd, Suite 103, Jacksonville, FL 32216-8070

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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