Individual provider Active NPI

Shari J Weyer, OTR/L

  • Occupational Therapist
  • Woodbury, MN
National Provider Identifier
1538268586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101178 Issued in MN
Practice address
8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382
Phone
(651) 738-9888
Fax
(651) 738-9889
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101178 MN Primary

Addresses

Primary practice location

8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382

Mailing address

8320 City Centre Dr
Suite G
Woodbury, MN 55125-3382
Phone (651) 738-9888

Other identifiers 6

IdentifierTypeStateIssuer
HP42302OtherMNHEALTHPARTNERS
2014170OtherMNAMERICA'S PPO
40840400MedicaidWI
6404398OtherMNMEDICA / SELECT CARE
59061720MedicaidMN
73G35WEOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000081 MN Practitioner - Occupational Therapist in Private Practice 3678474673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101178MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Speech Therapy, LLC CurrentSince Aug 31, 2021 Accepting new patients
Advance Occupational Therapy, LLC Occupational Therapist CurrentSince Aug 31, 2021 Accepting new patients
Family Achievement Center Inc. Occupational Therapist PastSince Feb 26, 2008 Accepting new patients

Locations

6776 Lake Dr
Ste 220
Lino Lakes, MN 55014
Phone (651) 784-7007

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538268586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 CITY CENTRE DR",
            "address_2": "SUITE G",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253382",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 CITY CENTRE DR",
            "address_2": "SUITE G",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253382",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYER",
        "first_name": "SHARI",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP42302",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "2014170",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40840400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA / SELECT CARE",
            "identifier": "6404398",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59061720",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73G35WE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.