Provider Demographics
NPI:1518946052
Name:WEINSTEIN, MICHELE LEAVITT (PT, ATC)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LEAVITT
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 ELATI CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1646
Mailing Address - Country:US
Mailing Address - Phone:703-971-4834
Mailing Address - Fax:
Practice Address - Street 1:6200 ELATI CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-1646
Practice Address - Country:US
Practice Address - Phone:703-971-4834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCP039226T225100000X
DCCP039213T225100000X
CT003650225100000X
NC46312251S0007X
DCAT230001752255A2300X
VA01260023032255A2300X
VA2305209185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer