Basic Information
| Provider Information | |||||||||
| NPI: | 1891742359 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEBER | ||||||||
| FirstName: | CARA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | D.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 303 SE 17TH ST # 309-229 | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344714421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526933378 | ||||||||
| FaxNumber: | 8887589645 | ||||||||
| Practice Location | |||||||||
| Address1: | 5036 SE 110TH ST | ||||||||
| Address2: | |||||||||
| City: | BELLEVIEW | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344203759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526933378 | ||||||||
| FaxNumber: | 8887599645 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2006 | ||||||||
| LastUpdateDate: | 02/25/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 070-015002 | IL | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 03918 | IA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | PT28856 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | PT28856 | 01 | FL | STATE OF FLORIDA | OTHER | 03918 | 01 | IA | STATE OF IOWA | OTHER | 070-015002 | 01 | IL | ILLINOIS PT LICENSE NO | OTHER |