Active NPI
Tina Marie Weaver, COTA/L
- Occupational Therapy Assistant
- Sarasota, FL
National Provider Identifier
1346700770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 16136
- Practice address
- 1524 S East Ave
Sarasota, FL 34239-2324 - Phone
- (941) 365-2422
- NPI assigned
- Mar 21, 2019
- 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 Therapy Assistant | 224Z00000X | 16136 | FL | Primary |
Addresses
Primary practice location
1524 S East Ave
Sarasota, FL 34239-2324
Mailing address
904 Wabash Rd
Venice, FL 34293-6460
Phone (941) 650-6036
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16136 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1346700770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 WABASH RD",
"city": "VENICE",
"state": "FL",
"postal_code": "342936460",
"telephone_number": "941-650-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 S EAST AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392324",
"telephone_number": "941-365-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "16136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.