Active NPI
Kinecio
- Physical Therapy Clinic/Center
- Woodbury, MN
National Provider Identifier
1922562883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.