Active NPI
Jason Allen Wesenberg, PT
- Physical Therapist
- Albany, MN
National Provider Identifier
1003945635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6259
- Practice address
- 320 3Rd Ave
Centracare Clinic Albany
Albany, MN 56307-9363 - Phone
- (320) 845-2157
- Fax
- (320) 845-6138
- NPI assigned
- Mar 2, 2007
- Last updated
- Aug 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6259 | MN | Primary |
Addresses
Primary practice location
320 3Rd Ave
Centracare Clinic Albany
Albany, MN 56307-9363
Mailing address
320 3Rd Ave
Centracare Clinic
Albany, MN 56307-9363
Phone (320) 845-2157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1003945635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 3RD AVE",
"address_2": "CENTRACARE CLINIC",
"city": "ALBANY",
"state": "MN",
"postal_code": "563079363",
"telephone_number": "320-845-2157",
"fax_number": "320-845-6138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 3RD AVE",
"address_2": "CENTRACARE CLINIC ALBANY",
"city": "ALBANY",
"state": "MN",
"postal_code": "563079363",
"telephone_number": "320-845-2157",
"fax_number": "320-845-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESENBERG",
"first_name": "JASON",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.