Amanda Kay Weersma

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201011198 Issued in MI

Practice address

145 S Main St #4
Wayland, MI 49348

Phone

(269) 792-2353

NPI assigned

Jul 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sensory Systems Clinic West, PLC

  • Occupational Therapist
  • Wayland, MI
  • NPI 1699047050
  NPD

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1104026764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST #4",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "49348",
            "telephone_number": "269-792-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST #4",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "49348",
            "telephone_number": "269-792-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEERSMA",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057002841",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201011198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mark Veneman, DDS
• Haley Vos, PA-C
• Wayland Area Emergency Medical Services
• Wayland Area EMS
• Wayland Village Drug Inc
• Elizabeth White, DDS
• Kendel Wiercinski
• Jillian Wilbur, LLMSW
• Margaret Dawn Wilkins, COTA/L
• Taylor Easton Witczak

• Pediatric Occupational Therapist in Wayland, MI
• Providers in Wayland, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.