Healthcare Provider Details

I. General information

NPI: 1487103909
Provider Name (Legal Business Name): JOEY WEBER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 E BASELINE RD STE 105
MESA AZ
85209-4039
US

IV. Provider business mailing address

7115 E BASELINE RD
MESA AZ
85209-4039
US

V. Phone/Fax

Practice location:
  • Phone: 602-853-4404
  • Fax: 602-853-4776
Mailing address:
  • Phone: 602-853-4404
  • Fax: 602-853-4776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: