Cynthia Carron Weinberger, OT/L, CHT

Individual provider Active NPI Occupational Therapist · West Palm Beach, FL

NPI 1811229958 · NPPES record last updated Jul 30, 2021

Key facts

NPI
1811229958
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT18594 (FL)
Practice address
801 S Olive Ave Ste 106
West Palm Beach, FL 33401-6127
Phone
(561) 461-5343
Fax
(561) 530-2026
NPI assigned
Jan 30, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Therapy Group LLC (24 clinicians)

Practice addresses (Care Compare)

630 S Sapodilla Ave
Apt 117
West Palm Beach, FL 33401-4179
Phone (561) 461-5343

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181005001344 FL Practitioner - Occupational Therapist in Private Practice 1951589183 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
072-0000533VTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Group LLC Occupational Therapist Current
since Mar 20, 2020
Accepting new patients
Cynthia Weinberger, OT/L, CHT Past Accepting new patients
Universal Physical Therapy, LLC Past Accepting new patients
Valley Regional Hospital, Inc Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0728 NH
Occupational Therapist 225X00000X 072-0000533 VT
Occupational Therapist 225X00000X OT18594 FL Yes

Addresses

Primary practice location

801 S Olive Ave Ste 106
West Palm Beach, FL 33401-6127

Mailing address

630 S Sapodilla Ave Apt 117
West Palm Beach, FL 33401-4179
Phone (603) 504-5030

Other practice location 1

6169 S Jog Rd Ste A11
Lake Worth, FL 33467-6586
Phone (561) 432-0111

Other practice location 2

17 Main Street
Newport, NH 03743
Phone (603) 542-1878

Other identifiers

IdentifierTypeStateIssuer
3095380MedicaidNH
1023988MedicaidVT
0021535OtherNHMEDICARE PTAN
T400187533OtherNHMEDICARE PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2021.

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1811229958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S SAPODILLA AVE APT 117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014179",
            "telephone_number": "603-504-5030",
            "fax_number": "561-530-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S OLIVE AVE STE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016127",
            "telephone_number": "561-461-5343",
            "fax_number": "561-530-2026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6169 S Jog Rd Ste A11",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334676586",
            "country_code": "US",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Main Street",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NH",
            "postal_code": "03743",
            "country_code": "US",
            "telephone_number": "603-542-1878",
            "fax_number": "603-542-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "CYNTHIA",
        "middle_name": "CARRON",
        "name_prefix": "Ms.",
        "credential": "OT/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "0728",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072-0000533",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095380",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023988",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0021535",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "T400187533",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

All providers in West Palm Beach, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.