Deedra Marie Weill, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1058877 Issued in OR

Practice address

5200 S Macadam Ave Ste 120
Portland, OR 97239-3843

Phone

(971) 800-0847

Fax

(855) 564-1809

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Deedra Marie Gerry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1053375436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 SW 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211905",
            "telephone_number": "971-800-0847",
            "fax_number": "855-564-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S MACADAM AVE STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393843",
            "telephone_number": "971-800-0847",
            "fax_number": "855-564-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILL",
        "first_name": "DEEDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1058877",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1058877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEDRA",
            "last_name": "GERRY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Nicole Weil, MD
• Keaton Weil
• Shannon Laree Weiland
• Deidre Weiler, ANP
• Jessica Weiler, FNP
• Idamarie Weimer
• Madison R Weinard
• Molly M Weinbender, DPT
• Brenda Weinberg
• Jacob Ernest Weinberg, DMD, MDS

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.