Kelly Lawler Weynand, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

11333 Issued in NC

Practice address

1016 Euclid Ave
Charlotte, NC 28203-4520

Phone

(704) 807-5699

Fax

(704) 807-5699

NPI assigned

Jan 12, 2018

Last updated

Jan 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tadpole Pediatric Therapy Services PLLC

  • Pediatric Occupational Therapist
  • Charlotte, NC
  • NPI 1457057549

  Single Specialty

  NPD Authorized official
• Kinetic Kids, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Charlotte, NC
  • NPI 1891949707

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1235647215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 BROOKDALE DR STE 100-122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158719",
            "telephone_number": "704-807-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 EUCLID AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034520",
            "telephone_number": "704-807-5699",
            "fax_number": "704-807-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYNAND",
        "first_name": "KELLY",
        "middle_name": "LAWLER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "11333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "000034225830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Westgard
• Neva Jo Westmoreland, NP
• Qian Westra
• Michael Wetsel, PSY.D.
• Nathan George Wetters, M.D.
• Amy Beth Whalen, PT
• Deidra L Whalen, OPA-C
• Maurice James Whalen, M.D.
• Keren Ashie Whaley, NP
• Kahlin Whatley, LCSWA

• Pediatric Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.