Larry C Webber Jr., MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003253 Issued in IA

Practice address

2714 Center Lake Dr
Spirit Lake, IA 51360-7268

Phone

(712) 336-2722

NPI assigned

Jul 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Great Lakes Physical Therapy

  • Speech-Language Pathologist
  • Spirit Lake, IA
  • NPI 1033407507
  NPD (past) Authorized official

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1770895237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 CENTER LAKE DR",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607268",
            "telephone_number": "712-336-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 CENTER LAKE DR",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607268",
            "telephone_number": "712-336-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "LARRY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "003253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarra L Vander Leest, O.D.
• Stephanie J. Veldman, DC,CCSP
• Joseph Verschoor, DPT
• Wal-Mart Stores, Inc.
• Walmart Inc.
• Susan Jane Willette, NP
• Brooke Laura Wittrock, PHARM D
• Marci Yost, ATC/L
• Jason Zinnel, PA-C

• All providers in Spirit Lake, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.