Individual ProviderNicole Ann WeirPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8290 University Ave NE, Suite 200, Fridley, MN 55432-1847(763) 786-9543(952) 512-5600PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Ann Weir does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225316771Provider TypeIndividualFull NameWeir, Nicole AnnCredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/2/2011Last Updated7/6/2012Contact InformationPractice LocationPractice Address8290 University Ave NE, Suite 200, Fridley, MN 55432-1847Phone(763) 786-9543Fax(763) 786-3320Mailing LocationMailing Address4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840Phone(952) 512-5600Fax(952) 512-5651Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8844Minnesota