Miles Anthony Weber, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12381-24 Issued in WI

Practice address

279 N Altenhofen Dr
Appleton, WI 54913-8401

Phone

(920) 738-0671

NPI assigned

May 28, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peak Performance Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • Appleton, WI
  • NPI 1730105008
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1073950366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 OLDE COUNTRY CIR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303766",
            "telephone_number": "414-238-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N ALTENHOFEN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138401",
            "telephone_number": "920-738-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MILES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12381-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Jo Weber, OTR
• Courtney Paige Weber, COTA
• Jenna Jean Weber, DPT
• Jonathan David Weber, DMD
• Marcia Weber, LPN
• Mitchell Robert Weber, NP-C
• Steven L Weber, DDS
• Hilary Webster, MD
• Cynthia Marie Wecker, APNP
• Kayla Weed

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.