Active NPI
Brian Leonard Weber, DPT
- Physical Therapist
- Woodbury, MN
National Provider Identifier
1265550966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7833
- Practice address
- 7650 Currell Blvd # 325
Woodbury, MN 55125 - Phone
- (651) 207-6493
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10387-024 | WI | |
| Physical Therapist | 225100000X | 7833 | MN | Primary |
Addresses
Primary practice location
7650 Currell Blvd # 325
Woodbury, MN 55125
Mailing address
7650 Currell Blvd # 325
Woodbury, MN 55125-2257
Phone (651) 207-6493
Other practice location 1
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 426-4537 ext. 578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36103600 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10387-024 | WI | MD | Physical Therapist |
| 7833 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1265550966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 CURRELL BLVD # 325",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252257",
"telephone_number": "651-207-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 CURRELL BLVD # 325",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-207-6493"
}
],
"practiceLocations": [
{
"address_1": "1629 E Division St",
"address_purpose": "LOCATION",
"city": "River Falls",
"state": "WI",
"postal_code": "540221571",
"country_code": "US",
"telephone_number": "715-426-4537 x578",
"fax_number": "715-426-4602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "BRIAN",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10387-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36103600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.