Active NPI
Macy Clark Weisbart, OTR
- Occupational Therapist
- Medford, OR
National Provider Identifier
1023773447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 463168
- Practice address
- 400 Crater Lake Ave
Medford, OR 97504-6808 - Phone
- (541) 613-6505
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22987 | CA | |
| Occupational Therapist | 225X00000X | 463168 | OR | Primary |
Addresses
Primary practice location
400 Crater Lake Ave
Medford, OR 97504-6808
Mailing address
3804 Arena Dr
Medford, OR 97504-9530
Phone (760) 504-5308
Other practice location 1
5465 S Pacific Hwy
Phoenix, OR 97535-6608
Phone (541) 776-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easy Speech Pathology, Inc. | Current | Accepting new patients |
Locations
1007 E Cooley Dr
Ste 107
Colton, CA 92324
Phone (760) 837-0033
75100 Mediterranean
Palm Desert, CA 92211
Phone (760) 340-9832
Organizations & group practices 1
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.
-
dba Easy Speech Therapy Center
- Multi-Specialty Clinic/Center
- Palm Desert, CA
- NPI 1124434261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789776000000",
"number": "1023773447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 ARENA DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049530",
"telephone_number": "760-504-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046808",
"telephone_number": "541-613-6505"
}
],
"practiceLocations": [
{
"address_1": "5465 S Pacific Hwy",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "OR",
"postal_code": "975356608",
"country_code": "US",
"telephone_number": "541-776-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISBART",
"first_name": "MACY",
"middle_name": "CLARK",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2026-09-19",
"certification_date": "2026-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22987",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "463168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.