Active NPI
Christine Weaver
- Neurorehabilitation Occupational Therapist
- San Diego, CA
National Provider Identifier
1124485057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 3364
- Practice address
- 425 W Beech St
Suite 1158
San Diego, CA 92101-2955 - Phone
- (619) 985-0856
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3364 | CA | |
| Behavior Analyst | 103K00000X | 3364 | CA | |
| Social Worker | 104100000X | 3364 | CA | |
| Registered Dietitian | 133V00000X | 3364 | CA | |
| Art Therapist | 221700000X | 3364 | CA | |
| Physical Therapist | 225100000X | 3364 | CA | |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 3364 | CA | |
| Recreation Therapist | 225800000X | 3364 | CA | |
| Music Therapist | 225A00000X | 3364 | CA | |
| Rehabilitation Counselor | 225C00000X | 3364 | CA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 3364 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 3364 | CA |
Addresses
Primary practice location
425 W Beech St
Suite 1158
San Diego, CA 92101-2955
Mailing address
425 W Beech St
Suite 1158
San Diego, CA 92101-2955
Phone (619) 985-0856
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3364 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropraxis | Behavior Analyst | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Redondo Beach, CA
- NPI 1275296451
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1124485057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BEECH ST",
"address_2": "SUITE 1158",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012955",
"telephone_number": "619-985-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BEECH ST",
"address_2": "SUITE 1158",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012955",
"telephone_number": "619-985-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "CA",
"license": "3364",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "3364",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "3364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.