Individual provider Active NPI

Amanda Grace Weybrecht, OTR/L, OTD

  • Occupational Therapist
  • Painesville, OH
National Provider Identifier
1689198210
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008386 Issued in OH
Practice address
475 Manhattan Pkwy
Painesville, OH 44077-5026
Phone
(513) 490-7601
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 008386 OH Primary

Addresses

Primary practice location

475 Manhattan Pkwy
Painesville, OH 44077-5026

Mailing address

475 Manhattan Pkwy
Painesville, OH 44077-5026
Phone (513) 490-7601

Other names 1

  • A. Grace Weybrecht Other name

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

LicenseStateTypeSpecialty
008386OHMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689198210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MANHATTAN PKWY",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440775026",
            "telephone_number": "513-490-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MANHATTAN PKWY",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440775026",
            "telephone_number": "513-490-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYBRECHT",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "008386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A. GRACE",
            "last_name": "WEYBRECHT",
            "credential": "OTR/L, OTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.