Organization Active NPI

Dream Weaver Therapy LLC

  • Occupational Therapist
  • Weston, FL
National Provider Identifier
1205387396
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17951 Issued in FL
Legal business name
DREAM WEAVER THERAPY LLC
Practice address
2800 Weston Rd
Suite 100
Weston, FL 33331-3638
Phone
(330) 309-8315
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Kelly Lee Neal, OTR/L
Title
Occupational Therapist
Phone
(330) 309-8315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT17951 FL Primary

Addresses

Primary practice location

2800 Weston Rd
Suite 100
Weston, FL 33331-3638

Mailing address

16890 SW 139TH PL
Miami, FL 33177-2034
Phone (330) 309-8315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1205387396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16890 SW 139TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772034",
            "telephone_number": "330-309-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WESTON RD",
            "address_2": "SUITE 100",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313638",
            "telephone_number": "330-309-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM WEAVER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "330-309-8315",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.