Individual provider Active NPI

Molly A Weber, PT, LAT, ATC

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1477662989
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9380 Issued in NC
Practice address
1408 Walker Ave.
HHP Room 136
Greensboro, NC 27412
Phone
(336) 334-5925
Fax
(336) 256-0407
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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 9380 NC Primary

Addresses

Primary practice location

1408 Walker Ave.
HHP Room 136
Greensboro, NC 27412

Mailing address

PO Box 26168
Unc Greensboro Athletics
Greensboro, NC 27402-6168
Phone (336) 334-5925

Other identifiers 1

IdentifierTypeStateIssuer
PT21570OtherFLLICENSE #

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

LicenseStateTypeSpecialty
9380NCMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1477662989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26168",
            "address_2": "UNC GREENSBORO ATHLETICS",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274026168",
            "telephone_number": "336-334-5925",
            "fax_number": "336-256-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 WALKER AVE.",
            "address_2": "HHP ROOM 136",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27412",
            "telephone_number": "336-334-5925",
            "fax_number": "336-256-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MOLLY",
        "middle_name": "A",
        "credential": "PT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT21570",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.