Active NPI
Mark Steven Weigand, PT
- Physical Therapist
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11855
- Practice address
- 11225 Ulysses St NE
Blaine, MN 55434-4261 - Phone
- (763) 302-2600
- Fax
- (763) 302-2601
- NPI assigned
- Oct 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11855 | MN | Primary |
Addresses
Primary practice location
11225 Ulysses St NE
Blaine, MN 55434-4261
Mailing address
11225 Ulysses St NE
Blaine, MN 55434-4261
Phone (763) 302-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Physical Therapist | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
11225 Ulysses St NE
Blaine, MN 55434
Phone (763) 302-2600
3111 124th Ave NW
Ste 200
Coon Rapids, MN 55433
Phone (763) 427-7300
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1346847597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11225 ULYSSES ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344261",
"telephone_number": "763-302-2600",
"fax_number": "763-302-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 ULYSSES ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344261",
"telephone_number": "763-302-2600",
"fax_number": "763-302-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGAND",
"first_name": "MARK",
"middle_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.