Active NPI
Tyler Weiland
- Occupational Therapist
- Lillington, NC
National Provider Identifier
1164823084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9098
- Practice address
- 54 Red Mulberry Way
Lillington, NC 27546-9633 - Phone
- (910) 814-8030
- NPI assigned
- Sep 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 9098 | NC | Primary |
Addresses
Primary practice location
54 Red Mulberry Way
Lillington, NC 27546-9633
Mailing address
817 Calico Creek Dr
Garner, NC 27529-5958
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1164823084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 CALICO CREEK DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275295958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 RED MULBERRY WAY",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275469633",
"telephone_number": "910-814-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILAND",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.