Individual provider Active NPI

Christa Weigel, DPT

  • Physical Therapist
  • Woodbury, MN
National Provider Identifier
1801221908
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12336 Issued in MN
Practice address
9680 Tamarack Rd
Woodbury, MN 55125-2622
Phone
(515) 460-0558
NPI assigned
Sep 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.022070 IL
Physical Therapist 225100000X 005292 IA
Physical Therapist 225100000X 12336 MN Primary

Addresses

Primary practice location

9680 Tamarack Rd
Woodbury, MN 55125-2622

Mailing address

9680 Tamarack Rd
Woodbury, MN 55125-2622

Other practice location 1

2515 N Clark St
Chicago, IL 60614-2730
Phone (312) 227-6240

Other names 1

  • Christa Harbacheck Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817002861 MN Practitioner - Physical Therapist in Private Practice 9133524952 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005292IAMDPhysical Therapist
070.022070ILMDPhysical Therapist
12336MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jul 9, 2021 Accepting new patients
Fairview Express Care CurrentSince Jul 9, 2021 Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services PastSince Jul 25, 2021 Accepting new patients

Locations

3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

3305 Central Park Village Dr
#130
Saint Paul, MN 55121

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

9680 Tamarack Rd
Woodbury, MN 55125
Phone (515) 460-0558

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172

Organizations & group practices 5

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": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1801221908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 TAMARACK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 TAMARACK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252622",
            "telephone_number": "515-460-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606142730",
            "country_code": "US",
            "telephone_number": "312-227-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "CHRISTA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022070",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005292",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "HARBACHECK",
            "credential": "PT, DPT, PCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.