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
Last updated
Oct 24, 2016By the provider in NPPES
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/LNPI 1922466432
Title
Occupational Therapist
Phone
(330) 309-8315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.