Whitney Marie Weborg, PT, DPT
Individual provider Active NPI Physical Therapist · Montpelier, ID
NPI 1497302244 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1497302244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-9200 (ID)
- Practice address
- 164 S 5TH Street
Montpelier, ID 83254 - Phone
- (208) 847-4417
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bear Lake County Memorial Hospital
Practice addresses (Care Compare)
288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250828001850 | UT | Practitioner - Physical Therapist in Private Practice | 6608377031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-9200 | ID | MD | Physical Therapist |
| 2031 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Physical Therapist | Current |
Accepting new patients |
Locations
164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2031 | WY | |
| Physical Therapist | 225100000X | 13908430-2401 | UT | |
| Physical Therapist | 225100000X | PT-9200 | ID | Yes |
Addresses
Primary practice location
164 S 5TH Street
Montpelier, ID 83254
Mailing address
1199 Lanark Road
Ovid, ID 83254
Phone (208) 908-9526
Other names
- Whitney Marie Peterson
Other providers in Montpelier, ID
- Shaun David Tobler
- Valley Home Oxygen
- Dean A Wallentine
- Kasey L Ward
- Mina L Wayman
- Monty Brett Weston
- Lynette Dawn Williams
- Julie Wise
- Noall E Wolff
All providers in Montpelier, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.