Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Shane Weatherman, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1710280086

Michael Shane Weatherman, COTA/L is an Occupational Therapy Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

4124 Providence Rd Apt B
Charlotte, NC 28211-4479
Phone: (828) 707-7627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2880 (NC)

Record details

NPI number1710280086
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 8, 2010
Last updated in NPPESDecember 8, 2010

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