Active NPI
Melanie Susan Weaver Wakefield, COTA
- Occupational Therapy Assistant
- East Amherst, NY
National Provider Identifier
1518219088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 004032-1
- Practice address
- 11390 Transit Rd
East Amherst, NY 14051-1017 - Phone
- (716) 580-3042
- NPI assigned
- Oct 9, 2012
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 004032-1 | NY | Primary |
Addresses
Primary practice location
11390 Transit Rd
East Amherst, NY 14051-1017
Mailing address
3860 Irish Rd
Wilson, NY 14172-9764
Phone (716) 778-4676
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 |
|---|---|---|---|
| 004032-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1518219088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 IRISH RD",
"city": "WILSON",
"state": "NY",
"postal_code": "141729764",
"telephone_number": "716-778-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11390 TRANSIT RD",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140511017",
"telephone_number": "716-580-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER WAKEFIELD",
"first_name": "MELANIE",
"middle_name": "SUSAN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "004032-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.