Individual provider Active NPI

Amanda Valerie Friedline Weber, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1962911537
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17386 Issued in NC
Practice address
3708 Mayfair St Ste 120
Durham, NC 27707-6223
Phone
(984) 215-4970
Fax
(984) 215-4975
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P17386 NC Primary

Addresses

Primary practice location

3708 Mayfair St Ste 120
Durham, NC 27707-6223

Mailing address

3708 Mayfair St Ste 120
Durham, NC 27707-6223
Phone (984) 215-4970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AFRIEDLINEWEBER219108@DIRECT.UNC.NCHIE.NET Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108001844 NC Practitioner - Physical Therapist in Private Practice 0648605261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17386NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Nov 7, 2019 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Nov 7, 2019 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 6, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

3708 Mayfair St
Ste 120
Durham, NC 27707
Phone (984) 215-4780

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: afriedlineweber219108@direct.unc.nchie.net

Organizations & group practices 6

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1962911537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 MAYFAIR ST STE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076223",
            "telephone_number": "984-215-4970",
            "fax_number": "984-215-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 MAYFAIR ST STE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076223",
            "telephone_number": "984-215-4970",
            "fax_number": "984-215-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLINE WEBER",
        "first_name": "AMANDA",
        "middle_name": "VALERIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AFRIEDLINEWEBER219108@DIRECT.UNC.NCHIE.NET",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1515 SW Cary Pkwy Ste 120",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.