Organization Active NPI

Ironstone Farm

  • Occupational Medicine Clinic/Center
  • Andover, MA
National Provider Identifier
1174977854
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
3535 Issued in MA
Legal business name
IRONSTONE FARM
Practice address
450 Lowell St
Andover, MA 01810-5305
Phone
(978) 475-4056
NPI assigned
Apr 19, 2016
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Ms. Shaina Marie Pilz, COTA/LNPI 1154099190
Title
Certified Occupational Therapy Asst
Phone
(978) 423-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 3535 MA Primary

Addresses

Primary practice location

450 Lowell St
Andover, MA 01810-5305

Mailing address

7 Ellis St
Methuen, MA 01844-6017

National Provider Directory

National Provider Directory
Tax ID family
Challenge Unlimited Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1174977854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELLIS ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LOWELL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105305",
            "telephone_number": "978-475-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONSTONE FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "PILZ",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASST",
        "authorized_official_telephone_number": "978-423-5181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MA",
            "license": "3535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.