Active NPI
Ann Catherine Wieber-Young
- Physical Therapist
- Northfield, MN
National Provider Identifier
1326117292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4275
- Practice address
- 1381 Jefferson Rd
Northfield, MN 55057-3080 - Phone
- (507) 646-8800
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4275 | MN | Primary |
Addresses
Primary practice location
1381 Jefferson Rd
Northfield, MN 55057-3080
Mailing address
1007 Prairie View CT
Northfield, MN 55057-3910
Phone (507) 663-9037
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4275 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326117292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 PRAIRIE VIEW CT",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573910",
"telephone_number": "507-663-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 JEFFERSON RD",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573080",
"telephone_number": "507-646-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEBER-YOUNG",
"first_name": "ANN",
"middle_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.