MARK L WEAVER (PT) – Physical Therapist, NPI 1801949045

MARK L WEAVER (PT) is a healthcare provider. based in Pinedale, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT-642 (WY). The NPI Number for MARK L WEAVER (PT) is 1801949045

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK L WEAVER (PT)
NPI
1801949045
Phone
(307) 367-6236
Address
PO BOX 1037
Enumeration Date
19 January 2007
Last Update Date
17 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073676236
Graduation Year
1994 (32 years ago)
PAC ID
7810091527
Group Practice PAC ID
0648171462
Professional Enrollment ID
I20070404000524
Address ID
WY829411037PI317XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

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Provider Addresses for MARK L WEAVER (PT)

  • Pinedale Post Office, West Minarets Avenue, Fresno, Fresno County, California, 93650, United States

    PINEDALE, WY 829411037

    Phone: (307) 367-6236

    Fax: (307) 367-3332

    Type: Mailing

  • Faler Avenue, Pinedale, Sublette County, Wyoming, 82941, United States

    PINEDALE, WY 82941

    Phone: (307) 367-6236

    Fax: (307) 367-3332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070404000524IPhysical Therapist In Private PracticeWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,01480$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46182$0
97530Therapy procedure using functional activities44366$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39182$0
97597Removal of tissue from wound, 20.0 sq cm or less21813$0
View full utilization report →

Insurance plans in this area (ZIP 82941)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648171462View full group profile
NameSpecialtyState
Qualified Speech Language PathologistNH
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
-WY
Occupational Therapist In Private PracticeWY
-WY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

How do payers reference MARK L WEAVER (PT)?
For MARK L WEAVER (PT), use NPI 1801949045 as the unique 10-digit identifier.
Is MARK L WEAVER (PT) shown as active in public data?
Registry records indicate MARK L WEAVER (PT) maintains an active NPI.
What area of care is associated with MARK L WEAVER (PT)?
MARK L WEAVER (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK L WEAVER (PT)?
Travel planning: use Pinedale, Wyoming as the reference point for MARK L WEAVER (PT), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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