Raymond Neil Weber, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12051 Issued in FL

Practice address

195 Mattie Kelly Blvd
Destin, FL 32541-2811

Phone

(214) 414-2888

NPI assigned

Mar 1, 2012

Sex

Male

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

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1437423944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 N CENTRAL EXPY",
            "address_2": "SUITE 460",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065209",
            "telephone_number": "214-414-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MATTIE KELLY BLVD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412811",
            "telephone_number": "214-414-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RAYMOND",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Ann Walsh, MS, RDN
• Patricia Walsh, LCSW
• Asher Zaslaw Ward, LCSW
• James William Ward Jr., MD
• Alexandrea Warren, FNP-C, CDE, BC-ADM
• Melissa Payne Weiner
• Melissa L Welch, PHD, LMFT
• Kelly Layton Weldon, FNP-C
• Wells Vision and Laser Eye Center, LLC
• Alvin F Wells, MD

• Occupational Therapy Assistant in Destin, FL
• Providers in Destin, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.