Individual provider Active NPI

Tom Joseph Weber, PT, MPT, OCS

  • Orthopedic Physical Therapist
  • Denham Springs, LA
National Provider Identifier
1932290848
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
06419 Issued in LA
Practice address
311 Veterans Blvd
Suite a
Denham Springs, LA 70726-4722
Phone
(225) 667-6598
Fax
(225) 664-8167
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 06419 LA Primary

Addresses

Primary practice location

311 Veterans Blvd
Suite a
Denham Springs, LA 70726-4722

Mailing address

311 Veterans Blvd
Suite a
Denham Springs, LA 70726-4722
Phone (225) 667-6598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210318000632 LA Practitioner - Physical Therapist in Private Practice 1759798762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06419LAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BRPT-Lake Rehabilitation Centers, LLC Past Accepting new patients

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1932290848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 VETERANS BLVD",
            "address_2": "SUITE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-667-6598",
            "fax_number": "225-664-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 VETERANS BLVD",
            "address_2": "SUITE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-667-6598",
            "fax_number": "225-664-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "TOM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "06419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.