Active NPI
Kelsie Wilson Weaver, OTR/L
- Occupational Therapist
- Daphne, AL
National Provider Identifier
1609204577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3678
- Practice address
- 26420 Kensington PL Ste C
Daphne, AL 36526-5123 - Phone
- (251) 517-0355
- Fax
- (251) 625-1969
- NPI assigned
- Oct 31, 2013
- 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 Therapist | 225X00000X | 3678 | AL | Primary |
Addresses
Primary practice location
26420 Kensington PL Ste C
Daphne, AL 36526-5123
Mailing address
9916 Windmill Rd Apt 11
Fairhope, AL 36532-3717
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3678 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemoine Therapy Services of Cenla Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Mansura, LA
- NPI 1336242767
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1609204577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9916 WINDMILL RD APT 11",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26420 KENSINGTON PL STE C",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265123",
"telephone_number": "251-517-0355",
"fax_number": "251-625-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KELSIE",
"middle_name": "WILSON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.