Active NPI
Adam J Weber, OT
- Occupational Therapist
- Menasha, WI
National Provider Identifier
1053565838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1550 Midway PL
Menasha, WI 54952-1165 - Phone
- (920) 738-2000
- NPI assigned
- Nov 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1550 Midway PL
Menasha, WI 54952-1165
Mailing address
N1699 Medina Dr
Greenville, WI 54942-8506
Phone (920) 242-0702
Other practice location 1
3305 N Ballard Rd Ste C
Appleton, WI 54911-9001
Phone (920) 735-9234
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Past | Accepting new patients | |
| Valley-Bay Therapy Inc. | Occupational Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1053565838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1699 MEDINA DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428506",
"telephone_number": "920-242-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MIDWAY PL",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521165",
"telephone_number": "920-738-2000"
}
],
"practiceLocations": [
{
"address_1": "3305 N Ballard Rd Ste C",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549119001",
"country_code": "US",
"telephone_number": "920-735-9234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "ADAM",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-06",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.