Averi Ashton Lundebrek, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

816 W Midway Dr
Grafton, ND 58237-7501

Phone

(701) 330-8812

NPI assigned

Apr 23, 2024

Sex

Female

Sole proprietor

Yes

• Averi Ashton Olson Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2024.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1194570937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W MIDWAY DR",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582377501",
            "telephone_number": "701-330-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W MIDWAY DR",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582377501",
            "telephone_number": "701-330-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEBREK",
        "first_name": "AVERI",
        "middle_name": "ASHTON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERI",
            "last_name": "OLSON",
            "middle_name": "ASHTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Grafton, ND
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.