Weber Physical Therapy and Wellness, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WEBER PHYSICAL THERAPY AND WELLNESS, PLLC

Practice address

580 Fairmont Ave
Pocatello, ID 83201-3808

Phone

(505) 412-8384

Fax

(208) 908-7115

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Weber, DPTNPI 1336795673

Title

Owner

Phone

(505) 412-8384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Frances Weber, DPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1336795673

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1770101966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FAIRMONT AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013808",
            "telephone_number": "505-412-8384",
            "fax_number": "208-908-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FAIRMONT AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013808",
            "telephone_number": "505-412-8384",
            "fax_number": "208-908-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER PHYSICAL THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-412-8384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirleen Watson
• Vicki Anne Watson, MSW
• Austin Earl Wattenbarger
• Melody Ann Weaver, PHD FNP
• Shannon Alison Webb, PA-C
• Carolyn Frances Weber, DPT
• Steven Webster, DO
• Joshua Weeks
• Jaime Weidner
• Ana Joy Weinhold, MD

• Physical Medicine & Rehabilitation Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.