Carolyn Frances Weber, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-6101 Issued in ID

Practice address

754 Washington Ave
Pocatello, ID 83201-3748

Phone

(505) 412-8384

Fax

(208) 908-7115

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Weber Physical Therapy and Wellness, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Pocatello, ID
  • NPI 1770101966
  Medicare reassignment NPD Authorized official
• McDonald Rehab, PC

  • Physical Therapist
  • Pocatello, ID
  • NPI 1497948509
  Medicare reassignment NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1336795673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "STE 190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024940",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "505-412-8384",
            "fax_number": "208-908-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015824",
            "country_code": "US",
            "telephone_number": "208-233-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CAROLYN",
        "middle_name": "FRANCES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "PT-6101",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT-6101",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Anne Watson, MSW
• Austin Earl Wattenbarger
• Melody Ann Weaver, PHD FNP
• Shannon Alison Webb, PA-C
• Weber Physical Therapy and Wellness, PLLC
• Steven Webster, DO
• Joshua Weeks
• Jaime Weidner
• Ana Joy Weinhold, MD
• Ayla Weisbeck

• Physical Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.