Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madelynn Rae Weathers

Individual provider Occupational Therapist · NPI 1083399893

Madelynn Rae Weathers is an Occupational Therapist in Private Practice in Flagstaff, Arizona. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2023

Practice location Address checks out

5130 N US Highway 89
Flagstaff, AZ 86004-2837
Phone: (928) 773-2054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 N 4th St Apt 908, Phoenix, AZ 85004-0733 — (360) 325-2645

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTH-010103 (AZ)

Record details

NPI number1083399893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address700 N 4th St Apt 908, Phoenix, AZ 85004-0733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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