IndividualActive
Jonathan Weber
NPI 1750255345 · Physical Therapist · Suffield, CT
Provider details
- NPI number
- 1750255345
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 15076 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
152 Mountain Rd
Suffield, CT 06078-2058
Phone: (413) 789-0752
Approximate (ZIP-level) locationGet directions
Mailing address
38 Mohawk Dr
Averill Park, NY 12018-6014
Registry dates
- Enumerated
- 2025-10-06
- Last updated
- 2025-10-06
- Certified
- 2025-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.