Benjamin Weiss, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10189 Issued in MN

Practice address

14392 91St PL N
Maple Grove, MN 55369-8530

Phone

(605) 393-7169

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1093250391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14392 91ST PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553698530",
            "telephone_number": "605-393-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14392 91ST PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553698530",
            "telephone_number": "605-393-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "BENJAMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Webber, MSN RN FNP
• Lauren Elizabeth Webber
• Brad Alan Weeks, O.D.
• Charles Weill
• Richard Keith Weimar, DDS
• Peyton Lynne Welinski
• John Welter, PA
• Nicole Wempen
• Julie Wenda, DPT
• Grace Marie Wendels, DC

• Physical Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.