Macy Clark Weisbart, OTR

Occupational Therapist · Medford, OR

Individual Active NPI

NPI number 1023773447

Practice location

400 Crater Lake Ave
Medford, OR 97504-6808
Phone
(541) 613-6505

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NPI record

NPI
1023773447
Entity type
Individual (Type 1)
Enumeration date
November 1, 2021
Last updated
September 19, 2026
Certified
September 19, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 463168 OR
Occupational Therapist 225X00000X 22987 CA

Mailing address

3804 Arena Dr
Medford, OR 97504-9530
Phone
(760) 504-5308

Other practice locations (1)

  • 5465 S Pacific Hwy, Phoenix, OR 97535-6608 · (541) 776-8555

About Macy Weisbart

Macy Clark Weisbart, OTR is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 400 Crater Lake Ave, Medford, OR 97504-6808. The NPI number 1023773447 was assigned on November 1, 2021 and the record was last updated on September 19, 2026.

Macy Weisbart lists 2 licenses in the registry: #463168 (OR) for Occupational Therapist; #22987 (CA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Macy Clark Weisbart, OTR?

The NPI number is 1023773447.

What is the phone number of Macy Weisbart?

The phone number listed for the practice location is (541) 613-6505.

Where is Macy Weisbart located?

400 Crater Lake Ave, Medford, OR 97504-6808.

What is the taxonomy code for Macy Weisbart?

The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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