Organization Active NPI

Kinecio

  • Physical Therapy Clinic/Center
  • Woodbury, MN
National Provider Identifier
1922562883
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KINECIO
Practice address
7650 Currell Blvd Ste 325
Woodbury, MN 55125-2257
Phone
(715) 410-0351
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Brian Leonard Weber, PHYSICAL THERAPIST
Title
Owner
Phone
(715) 410-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7650 Currell Blvd Ste 325
Woodbury, MN 55125-2257

Mailing address

7650 Currell Blvd Ste 325
Woodbury, MN 55125-2257
Phone (715) 410-0351

Other names 1

  • KINECIO Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

7650 Currell Blvd
Ste 325
Woodbury, MN 55125
Phone (651) 207-6493

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1922562883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CURRELL BLVD STE 325",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252257",
            "telephone_number": "715-410-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CURRELL BLVD STE 325",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252257",
            "telephone_number": "715-410-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINECIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-410-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINECIO Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2019; 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.