Teresia Michelle Weakley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A02625 Issued in MD

Practice address

41680 Miss Bessie Dr Ste 103
Leonardtown, MD 20650-2963

Phone

(240) 256-3711

Fax

(240) 256-3612

NPI assigned

May 10, 2018

Sex

Female

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

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1710477203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR STE 103",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502963",
            "telephone_number": "240-256-3711",
            "fax_number": "240-256-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR STE 103",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502963",
            "telephone_number": "240-256-3711",
            "fax_number": "240-256-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKLEY",
        "first_name": "TERESIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Walker-Leard
• Mary Jane Walsh, RN
• Laura P Ward
• Pamela Wasnick
• Jan Watson, COTA/L
• Weathering the Storm Behavioral Health LLC
• Canesha Wells
• Elizabeth Welsh
• Jonathan Wenk
• Kimberly Ann Westcoat, CRNA

• Occupational Therapy Assistant in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.