Joseph Weber

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12300 Issued in MN

Practice address

811 S 4TH St
Le Sueur, MN 56058-2339

Phone

(507) 593-8500

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1114493160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E MEDICINE LAKE BLVD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S 4TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560582339",
            "telephone_number": "507-593-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 E Medicine Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554412307",
            "country_code": "US",
            "telephone_number": "763-231-5935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn D Stelter, MD
• Madeline Teresa Stoltz
• David John Tycast
• Kristyn Marie Vinkemeier
• Waverly Senior Living LLC
• Erin Cheyenne Westfall, DO
• Esther Elizabeth Yunkin, RN, HEALTH EDUCATOR

• Physical Therapist in Le Sueur, MN
• Providers in Le Sueur, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.