Suzanne M Weigman, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4577-027 Issued in WI

Practice address

3305 N Ballard Rd Ste C
Appleton, WI 54911-9001

Phone

(920) 735-9234

NPI assigned

Oct 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Valley-Bay Therapy Inc.

  • Specialist
  • Appleton, WI
  • NPI 1720138514

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1285969071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 DESNOYER ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302010",
            "telephone_number": "920-858-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 N BALLARD RD STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119001",
            "telephone_number": "920-735-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGMAN",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4577-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Wecker, APNP
• Kayla Weed
• John William Weeden, MSW, LCSW
• Kayla Rose Wegner, PHARMD
• Christine R Weibel, ACNP-BC, APNP
• Chris M Weinlander, MD
• Christopher Weirtz, D.O
• Emma Weisensel, DC
• Nathan Weitlich
• Sarah Weitlich, RN

• Occupational Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.