Active NPI
Melinda Renee Weber, PT
- Physical Therapist
- Coeur D Alene, ID
National Provider Identifier
1093902116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-643
- Practice address
- 1321 W Northwood Center CT
Suite B
Coeur D Alene, ID 83814-4944 - Phone
- (208) 665-7055
- Fax
- (208) 665-7093
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- 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 | PT-643 | ID | Primary |
Addresses
Primary practice location
1321 W Northwood Center CT
Suite B
Coeur D Alene, ID 83814-4944
Mailing address
PO Box 758
Post Falls, ID 83877-0758
Phone (208) 773-6400
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 |
|---|---|---|---|
| PT-643 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Competitive Fitness, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Coeur D Alene, ID
- NPI 1063446011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1093902116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838770758",
"telephone_number": "208-773-6400",
"fax_number": "208-773-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 W NORTHWOOD CENTER CT",
"address_2": "SUITE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144944",
"telephone_number": "208-665-7055",
"fax_number": "208-665-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MELINDA",
"middle_name": "RENEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.