Active NPI
Brent Weber, DPT
- Physical Therapist
- Mandan, ND
National Provider Identifier
1043462302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1502
- Practice address
- 2004 Twin City Dr
Mandan, ND 58554-3820 - Phone
- (701) 667-0745
- Fax
- (701) 667-0707
- NPI assigned
- Oct 17, 2008
- 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 | 1502 | ND | Primary |
Addresses
Primary practice location
2004 Twin City Dr
Mandan, ND 58554-3820
Mailing address
405 N Broadway St
Linton, ND 58552-7024
Phone (701) 321-2150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1502 | ND | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1043462302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N BROADWAY ST",
"city": "LINTON",
"state": "ND",
"postal_code": "585527024",
"telephone_number": "701-321-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 TWIN CITY DR",
"city": "MANDAN",
"state": "ND",
"postal_code": "585543820",
"telephone_number": "701-667-0745",
"fax_number": "701-667-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "BRENT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.