Individual provider Active NPI

Timothy Weinberg, DPT

  • Physical Therapist
  • McMinnville, OR
National Provider Identifier
1184287955
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63136 Issued in OR
Practice address
2025 NE Baker St Ste a
McMinnville, OR 97128-2656
Phone
(503) 435-1900
NPI assigned
Apr 17, 2019
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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 63136 OR Primary

Addresses

Primary practice location

2025 NE Baker St Ste a
McMinnville, OR 97128-2656

Mailing address

2025 NE Baker St Ste a
McMinnville, OR 97128-2656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000904 OR Practitioner - Physical Therapist in Private Practice 0143554212 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Physical Therapy Physical Therapist CurrentSince Mar 22, 2023 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Active Edge Physical Therapy & Sports Medicine P.C. CurrentSince Jul 8, 2019 Accepting new patients
Andrew Physical Therapy, Inc CurrentSince May 7, 2019 Accepting new patients

Locations

1740 NW Pence Ln
Ste 5
Bend, OR 97703
Phone (541) 306-1099

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

2025 NE Baker St
Ste A
McMinnville, OR 97128
Phone (503) 435-1900

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

2020 8th Ave
Ste D
West Linn, OR 97068
Phone (503) 387-5449

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1184287955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 NE BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 NE BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282656",
            "telephone_number": "503-435-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.