Healthcare Provider Details

I. General information

NPI: 1033932645
Provider Name (Legal Business Name): JOSHUA MATTHEW WEBER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2024
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23D CAMBRIDGE ST
BURLINGTON MA
01803-4601
US

IV. Provider business mailing address

43 WESTLAND AVE UNIT 507
BOSTON MA
02115-4565
US

V. Phone/Fax

Practice location:
  • Phone: 956-533-5913
  • Fax: 866-570-1753
Mailing address:
  • Phone: 956-533-5913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: