Individual provider Active NPI

Patricia Lynne Weber, P.T.

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1992840276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3051 Issued in MN
Practice address
515 Delaware St SE
7TH FL Moos TWR - TMJ Clinic
Minneapolis, MN 55455-0357
Phone
(612) 626-0140
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3051 MN Primary

Addresses

Primary practice location

515 Delaware St SE
7TH FL Moos TWR - TMJ Clinic
Minneapolis, MN 55455-0357

Mailing address

515 Delaware St SE
7TH Floor Moos Tower - TMJ
Minneapolis, MN 55455-0357
Phone (612) 626-0140

Other names 1

  • Patricial Lynne Duffy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000501 MN Practitioner - Physical Therapist in Private Practice 5496763534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Head and Neck Pain Clinic PAGroup PAC ID 2769453687, 18 clinicians

Practice addresses (Care Compare)

3475 Plymouth Blvd
Suite 200
Plymouth, MN 55447-1539
Phone (763) 577-2484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota CurrentSince Sep 1, 2006 Accepting new patients
Minnesota Head and Neck Pain Clinic, PA CurrentSince Jul 1, 2021 Accepting new patients
Regents of the University of Minnesota CurrentSince Sep 1, 2006 Accepting new patients
Regents of the University of Minnesota Current Accepting new patients
Minnesota Head and Neck Pain Clinic, PA CurrentSince Jul 1, 2021 Accepting new patients

Locations

515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455

3475 Plymouth Blvd
Ste 200
Plymouth, MN 55447
Phone (763) 577-2484

2550 University Ave W
Ste 189S
Saint Paul, MN 55114
Phone (651) 332-7474

Interoperability endpoints

  • Direct secure messaging: patricia.weber.1@13597.direct.athenahealth.com

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992840276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "7TH FLOOR MOOS TOWER - TMJ",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-626-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "7TH FL MOOS TWR - TMJ CLINIC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-626-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "PATRICIA",
        "middle_name": "LYNNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIAL",
            "last_name": "DUFFY",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.