Individual provider Active NPI

Renee Lee Weber, MPT

  • Physical Therapist
  • Dodgeville, WI
National Provider Identifier
1497914634
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5522-024 Issued in WI
Practice address
1104 N Johns St
Dodgeville, WI 53533-1265
Phone
(608) 930-7147
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 5522-024 WI Primary

Addresses

Primary practice location

1104 N Johns St
Dodgeville, WI 53533-1265

Mailing address

1104 N Johns St
Dodgeville, WI 53533-1265
Phone (608) 930-7147

Other identifiers 1

IdentifierTypeStateIssuer
40324200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823002743 WI Practitioner - Physical Therapist in Private Practice 2062740343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5522-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc. CurrentSince Jul 17, 2023 Accepting new patients

Locations

103 Quail Ridge Dr
Barneveld, WI 53507
Phone (608) 924-1088

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1050 Branger Dr
Ste 5
Mineral Point, WI 53565

1050 Branger Dr
Mineral Point, WI 53565
Phone (608) 987-2346

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1497914634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N JOHNS ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331265",
            "telephone_number": "608-930-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N JOHNS ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331265",
            "telephone_number": "608-930-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RENEE",
        "middle_name": "LEE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5522-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40324200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.