Matthew Daniel Weidner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005632 Issued in CO

Practice address

620 Wilcox St
Castle Rock, CO 80104-1739

Phone

(303) 387-0100

NPI assigned

Aug 25, 2023

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

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.

• Douglas County School District Re1

  • Local Education Agency (LEA)
  • Castle Rock, CO
  • NPI 1184701351
  NPD (past)

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1548045883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WILCOX ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041739",
            "telephone_number": "303-387-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WILCOX ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041739",
            "telephone_number": "303-387-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "MATTHEW",
        "middle_name": "DANIEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Way Center Inc
• Stuart Virgil Weatherwax, MD
• Michael James Weaver, PHARMD
• Allyson Janae Webb, M.S CCC-SLP
• Baylee Webb
• Ashley Weigle, PA-C
• Lauren Vaughn Weinberger, FNP-BC
• Caroline Kopas Weiskircher
• Susan Weitkunat, MS RD CDE
• Welch Psychiatric Group PLLC

• Occupational Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.