Individual provider Active NPI

Suvi Katariina Weber

  • Physical Therapist
  • Grants Pass, OR
National Provider Identifier
1124075320
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4392 Issued in OR
Practice address
544 Union Ave
Grants Pass, OR 97527-5544
Phone
(541) 955-0940
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4392 OR Primary

Addresses

Primary practice location

544 Union Ave
Grants Pass, OR 97527-5544

Mailing address

544 Union Ave
Grants Pass, OR 97527-5544
Phone (541) 955-0940

Other names 1

  • Suvi Katariina Backman Other name

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

LicenseStateTypeSpecialty
4392ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Donato and Wood Consulting, Inc Physical Therapist Past Accepting new patients
Cascade Physical Therapy of Grants Pass LLC Physical Therapist PastSince Jul 7, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1124075320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-955-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-955-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SUVI",
        "middle_name": "KATARIINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUVI",
            "last_name": "BACKMAN",
            "middle_name": "KATARIINA",
            "credential": "P.T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.