Whitney Marie Weborg, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-9200 Issued in ID

Practice address

164 S 5TH Street
Montpelier, ID 83254

Phone

(208) 847-4417

NPI assigned

Aug 26, 2019

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Whitney Marie Peterson Former name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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 HospitalGroup PAC ID 5395799860, 31 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bear Lake County Memorial Hospital

  dba BLMH Bear Lake Clinic

  • Multi-Specialty Clinic/Center
  • Garden City, UT
  • NPI 1538916333

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1497302244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 LANARK ROAD",
            "city": "OVID",
            "state": "ID",
            "postal_code": "83254",
            "telephone_number": "208-908-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 S 5TH STREET",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "83254",
            "telephone_number": "208-847-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBORG",
        "first_name": "WHITNEY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "2031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13908430-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-9200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "PETERSON",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaun David Tobler, MSW, LCSW
• Valley Home Oxygen
• Dean A Wallentine, PHARM D.
• Kasey L Ward, NP
• Mina L Wayman, GNP
• Monty Brett Weston, D.D.S.
• Lynette Dawn Williams, RPH
• Julie Wise, MS, LCPC, NCC
• Noall E Wolff, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.

Verify at the official NPI Registry.