Active NPI
Samantha Marie Weaver, OTR/L
- Occupational Therapist
- Richmond, CA
National Provider Identifier
1245864230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18553
- Practice address
- 1136 Parkridge Dr
Richmond, CA 94803-1230 - Phone
- (320) 420-1628
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- 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 | 18553 | CA | Primary |
Addresses
Primary practice location
1136 Parkridge Dr
Richmond, CA 94803-1230
Mailing address
1136 Parkridge Dr
Richmond, CA 94803-1230
Phone (320) 420-1628
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18553 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1245864230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 PARKRIDGE DR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948031230",
"telephone_number": "320-420-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 PARKRIDGE DR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948031230",
"telephone_number": "320-420-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.