Individual provider Active NPI

Steven Michael Weber, PT, DPT, ATC

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1164037487
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2217 Issued in SD
Practice address
8907 W Annabelle St
Sioux Falls, SD 57106-4810
Phone
(605) 366-3899
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 2217 SD Primary

Addresses

Primary practice location

8907 W Annabelle St
Sioux Falls, SD 57106-4810

Mailing address

8907 W Annabelle St
Sioux Falls, SD 57106-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002209 SD Practitioner - Physical Therapist in Private Practice 7719386093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
City of BrookingsGroup PAC ID 1052307105, 112 clinicians

Practice addresses (Care Compare)

103 N Splitrock Blvd
Brandon, SD 57005-1529
Phone (605) 582-3908

2100 S Marion Rd
Sioux Falls, SD 57106-3645

2311 Yorkshire Dr
Suite 2
Brookings, SD 57006-2446
Phone (605) 697-7336

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

300 W 5TH St
Miller, SD 57362-1238
Phone (605) 853-0158

3400 S Southeastern Ave
Sioux Falls, SD 57103-7184
Phone (605) 322-5350

400 22ND Ave
Brookings, SD 57006-2450
Phone (605) 697-9500

6800 S Louise Ave
Sioux Falls, SD 57108-6026
Phone (605) 504-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2217SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Brookings CurrentSince Dec 1, 2021 Accepting new patients
Avera McKennan CurrentSince Apr 19, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
City of Brookings Current Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Avera McKennan CurrentSince Apr 19, 2021 Accepting new patients
Sacred Heart Health Services CurrentSince Apr 19, 2021 Accepting new patients
City of Brookings CurrentSince Dec 1, 2021 Accepting new patients
Sacred Heart Health Services CurrentSince Apr 19, 2021 Accepting new patients
Avera McKennan Past Accepting new patients
Avera McKennan Past Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

2311 Yorkshire Dr
Ste 2
Brookings, SD 57006
Phone (605) 697-7336

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

2100 S Marion Rd
Ste 100
Sioux Falls, SD 57106
Phone (605) 322-5156

6800 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 322-3278

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 11

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1164037487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 W ANNABELLE ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 W ANNABELLE ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064810",
            "telephone_number": "605-366-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.