Active NPI
Laura J Wegleitner, OTD, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1164197711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008570
- Practice address
- 775 E Willetta St
Phoenix, AZ 85006-2723 - Phone
- (480) 581-3900
- NPI assigned
- Aug 14, 2021
- 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 | OTH-008570 | AZ | Primary |
Addresses
Primary practice location
775 E Willetta St
Phoenix, AZ 85006-2723
Mailing address
11523 Gertrude CT Apt 306
La Vista, NE 68128-7704
Phone (915) 203-2600
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 |
|---|---|---|---|
| OTH-008570 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628899200000",
"number": "1164197711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11523 GERTRUDE CT APT 306",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681287704",
"telephone_number": "915-203-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 E WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062723",
"telephone_number": "480-581-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGLEITNER",
"first_name": "LAURA",
"middle_name": "J",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-14",
"last_updated": "2021-08-14",
"certification_date": "2021-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.