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

Wesley Roland Innocent Jr., LPTA

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1568073823

Wesley Roland Innocent Jr., LPTA is a Pediatric Rehabilitation Medicine Physician in Weston, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

2685 Executive Park Dr
Weston, FL 33331-3651
Phone: (954) 515-0892
Fax: (954) 349-0896
Show map & directions

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

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence PTA30120 (FL)

Record details

NPI number1568073823
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedAugust 11, 2020
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020