Amy M. Weber, OTR
Individual provider Active NPI Pediatric Occupational Therapist · Cobalt, CT
NPI 1801008586 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801008586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 002411 (CT)
- Practice address
- 56 Depot Hill Road
Cobalt, CT 06414-0340 - Phone
- (860) 267-0456
- Fax
- (860) 365-0389
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002411 | CT | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 002411 | CT | Yes |
Addresses
Primary practice location
56 Depot Hill Road
Cobalt, CT 06414-0340
Mailing address
P.O. Box 340
Cobalt, CT 06414-0340
Phone (860) 267-0456
Other providers in Cobalt, CT
All providers in Cobalt, CT · Pediatric Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.