Tristan Charles Birkemeier, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

COTA-1130 Issued in WY

Practice address

503 S 18TH St
Laramie, WY 82070-4303

Phone

(307) 742-3728

NPI assigned

Dec 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1205604337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 FETTERMAN DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 18TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704303",
            "telephone_number": "307-742-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKEMEIER",
        "first_name": "TRISTAN",
        "middle_name": "CHARLES",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "337173",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Bierman
• Molly Bierman, PMHNP, LICSW, RN
• Noah Binder
• Garrett Binkley
• Alex Birchby
• Mickelle Bisbee, MS, PPC
• Jordan Bishop
• Michael Bishop, PH.D, NCC, LPC
• Emma Marie Bjore, M.D.
• Carly Shay Bjorklund, RBT

• Occupational Therapy Assistant in Laramie, WY
• Providers in Laramie, WY by specialty
• Occupational Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.