Individual provider Active NPI

Sandra Harrison-Weaver, MHE, OTR/L, CHT

  • Specialist
  • Tacoma, WA
National Provider Identifier
1104898683
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R2012 Issued in KY
Practice address
Madigan Army Medical Center
9040A Fitzsimmons Drive MCHJ-Pmo
Tacoma, WA 98431-5000
Phone
(253) 968-2330
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R2012 KY Primary

Addresses

Primary practice location

Madigan Army Medical Center
9040A Fitzsimmons Drive MCHJ-Pmo
Tacoma, WA 98431-5000

Mailing address

12001 181St St E
Puyallup, WA 98374-9161

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
R2012KYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104898683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 181ST ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER",
            "address_2": "9040A FITZSIMMONS DRIVE MCHJ-PMO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984315000",
            "telephone_number": "253-968-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON-WEAVER",
        "first_name": "SANDRA",
        "credential": "MHE, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "R2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.