Individual provider Active NPI

Ashley Nichole Frymire, COTA/L

  • Occupational Therapy Assistant
  • Cadet, MO
National Provider Identifier
1154990901
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2012013692 Issued in MO
Practice address
10751 Villmer Rd
Cadet, MO 63630-9634
Phone
(314) 309-8662
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X 2012013692 MO Primary

Addresses

Primary practice location

10751 Villmer Rd
Cadet, MO 63630-9634

Mailing address

10751 Villmer Rd
Cadet, MO 63630-9634
Phone (314) 309-8662

Other names 1

  • Ms. Ashley N Frymire Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2012013692MOMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1154990901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 VILLMER RD",
            "city": "CADET",
            "state": "MO",
            "postal_code": "636309634",
            "telephone_number": "314-309-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 VILLMER RD",
            "city": "CADET",
            "state": "MO",
            "postal_code": "636309634",
            "telephone_number": "314-309-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYMIRE",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2012013692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "FRYMIRE",
            "middle_name": "N",
            "prefix": "MS.",
            "credential": "ASHLEY FRYMIRE COTA/",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cadet, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.