Healthcare Provider Details

I. General information

NPI: 1336282995
Provider Name (Legal Business Name): BARBARA WEISS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 N 32ND ST BLDG B
PHOENIX AZ
85008-5107
US

IV. Provider business mailing address

12321 N. 19TH ST. APT. 181
PHOENIX AZ
85022
US

V. Phone/Fax

Practice location:
  • Phone: 602-914-1332
  • Fax: 602-914-1335
Mailing address:
  • Phone: 602-914-1332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3697
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number3697
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number3697
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: