Active NPI
Karen Hilja Weaver, OT/L
- Occupational Therapist
- Lockport, IL
National Provider Identifier
1053876433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104726
- Practice address
- 16618 W 159TH St Ste 402
Lockport, IL 60441-8011 - Phone
- (815) 838-0529
- NPI assigned
- Feb 9, 2019
- Last updated
- Feb 9, 2019
- Sex
- Female
- 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 | 104726 | MN | Primary |
Addresses
Primary practice location
16618 W 159TH St Ste 402
Lockport, IL 60441-8011
Mailing address
4701 Oneida St
Duluth, MN 55804-1538
Phone (218) 730-3201
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104726 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlife Physical Therapy | Past | Accepting new patients | |
| Hand and Orthopaedic Surgery Center Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Orland Park, IL
- NPI 1053557264
-
- Specialist
- Oakbrook Terrace, IL
- NPI 1881902583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549670400000",
"number": "1053876433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 ONEIDA ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041538",
"telephone_number": "218-730-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16618 W 159TH ST STE 402",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604418011",
"telephone_number": "815-838-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KAREN",
"middle_name": "HILJA",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-09",
"last_updated": "2019-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.