Organization Active NPI

Wieber Physical Therapy

  • Physical Therapist
  • Faribault, MN
National Provider Identifier
1700961042
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5231 Issued in MN
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

Updated by the provider on Jan 24, 2017

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5231 MN Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
734390600MedicaidMN
8B800WIOtherMNPROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.