MS. SUSAN ANNE WEAVER OTR
NPI 1982921573
Occupational Therapist - Mental Health in Holland, MI

Q: What is Susan Weaver's NPI number?

The NPI number for Susan Weaver is 1982921573. It was assigned to this individual provider in the NPPES registry on April 22, 2010.

Q: What is Susan Weaver's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Mental Health, with taxonomy code 225XM0800X.

Q: When was this NPI record last updated?

The NPPES record for Susan Weaver was last updated on April 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2010Accepts Medicare Assignment

12265 JAMES ST, HOLLAND, MI 49424(616) 494-5461(616) 393-5687 Get Directions Write a Review

NPPES record last updated: April 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Susan Anne Weaver Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN ANNE WEAVER OTR (NPI 1982921573) is an individual mental health provider in Holland, Michigan, licensed in Michigan (5201003205) and active in the NPI registry since April 2010. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1982921573

Entity TypeIndividualFemale

Primary Taxonomy225XM0800X

Provider Legal NameMS. SUSAN ANNE WEAVERCredential: OTR

Location Address12265 JAMES STHolland, MI 49424-8613

Mailing Address12265 James StHolland, MI 49424-8613 · (616) 494-5461 · Fax (616) 393-5687

Phone(616) 494-5461

Fax(616) 393-5687

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 22, 2010

✔ NPI 1982921573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Mental HealthRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XM0800X

License✔ Licensed in MI · 5201003205

Definition

Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.

12265 JAMES ST, Holland, MI 49424

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Susan Anne Weaver Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42443723

PECOS Enrollment IDI20140505000078

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERYL ANN MASCORRO RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)