MEDICARE: JAMES WEEMS-PORTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TE1100X	Exercise & Sports Psychologist		OH

General Provider Information

NPI Number	:	1184575755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES WEEMS-PORTER

Provider Business Mailing Address
First Line	:	194 S BALCH ST APT 1
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44302-1648
Country	:	US
Telephone Number	:	234-718-0969
Fax Number	:

Provider Business Practice Location Address
First Line	:	194 S BALCH ST APT 1
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44302-1648
Country	:	US
Telephone Number	:	234-718-0969
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ JAMES WEEMS-PORTER ” Practice Location

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