Individual provider Active NPI

Rebecca Weldon, OTR/L

  • Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1073853016
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4514 Issued in AL
Practice address
4778 Overton Rd
Birmingham, AL 35210
Phone
(205) 957-0294
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4080 SC
Occupational Therapist 225X00000X 4514 AL Primary

Addresses

Primary practice location

4778 Overton Rd
Birmingham, AL 35210

Mailing address

4778 Overton Rd
Birmingham, AL 35210-3803
Phone (205) 957-0294

Other practice location 1

1407 Ashley River Rd
Charleston, SC 29407-5305
Phone (843) 769-0663

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

State licenses

LicenseStateTypeSpecialty
4514ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell'S Place, Inc. Occupational Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1073853016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4778 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103803",
            "telephone_number": "205-957-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4778 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35210",
            "telephone_number": "205-957-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 Ashley River Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294075305",
            "country_code": "US",
            "telephone_number": "843-769-0663",
            "fax_number": "843-769-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELDON",
        "first_name": "REBECCA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4080",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.