Individual provider Active NPI

Deborah Lynn Weidensaul, M.S., O.T.R.L

  • Occupational Therapist
  • Glenside, PA
National Provider Identifier
1992824676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC006208L Issued in PA
Practice address
850 Paper Mill Rd
Glenside, PA 19038-7833
Phone
(215) 233-0920
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OC006208L PA Primary

Addresses

Primary practice location

850 Paper Mill Rd
Glenside, PA 19038-7833

Mailing address

2282 Warner Rd
Lansdale, PA 19446-5853
Phone (610) 222-3909

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC006208LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992824676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 WARNER RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465853",
            "telephone_number": "610-222-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PAPER MILL RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387833",
            "telephone_number": "215-233-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENSAUL",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "M.S., O.T.R.L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006208L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.