Matt Alan Weber, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03973 Issued in KS

Practice address

621 W 21St St
Andover, KS 67002-8498

Phone

(316) 733-1349

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By the provider in NPPES

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

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Therapy Solutions LLC

  • Physical Therapy Assistant
  • Wichita, KS
  • NPI 1124703178
  Medicare reassignment NPD

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1174753362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 N INWOOD ST APT 1103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672267801",
            "telephone_number": "316-207-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028498",
            "telephone_number": "316-733-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MATT",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika E Walker, LSCSW
• Brandy Lynn Wallace, COTA
• Richard Lee Watson Jr., MD
• Megen Watts
• Wayfinder LLC
• Allan Michael Weilert, D.C.
• Linus J Weimer
• John Phillip Weller, CRNA
• Wellspring Counseling LLC
• Wesley Medical Center, LLC (Wesley Andover ER, a department of Wesley Medical Center)

• Physical Therapist in Andover, KS
• Providers in Andover, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.