Active NPI
Wieber Physical Therapy
- Physical Therapist
- Faribault, MN
National Provider Identifier
1700961042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5231
- Legal business name
- WIEBER PHYSICAL THERAPY
- Practice address
- 1961 Cardinal LN
Suite a
Faribault, MN 55021-4353 - Phone
- (507) 333-2986
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Schulte Wieber
- Title
- Owner
- Phone
- (507) 333-2986
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5231 | MN | Primary |
| Occupational Therapist | 225X00000X | 102310 | MN |
Addresses
Primary practice location
1961 Cardinal LN
Suite a
Faribault, MN 55021-4353
Mailing address
1961 Cardinal LN
Suite a
Faribault, MN 55021-4353
Phone (507) 333-2986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 734390600 | Medicaid | MN | |
| 8B800WI | Other | MN | PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
1961 Cardinal Ln
Ste A
Faribault, MN 55021
Phone (507) 333-2986
328 Heritage Pl
Ste B
Faribault, MN 55021
Phone (507) 333-2986
9549 Penn Ave S
Minneapolis, MN 55431
Phone (952) 703-3480
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Faribault, MN
- NPI 1952550246
-
- Specialist
- Owatonna, MN
- NPI 1154399822
-
- Specialist
- Faribault, MN
- NPI 1003881236
-
- Physical Therapist
- Golden Valley, MN
- NPI 1225138811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485216000000",
"number": "1700961042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 CARDINAL LN",
"address_2": "SUITE A",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550214353",
"telephone_number": "507-333-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 CARDINAL LN",
"address_2": "SUITE A",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550214353",
"telephone_number": "507-333-2986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIEBER PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2017-01-24",
"status": "A",
"authorized_official_last_name": "SCHULTE WIEBER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-333-2986"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MN",
"license": "5231",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102310",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "734390600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "8B800WI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.