Breanne Aird, MSOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201013386 Issued in MI

Practice address

1810 Chartwell Dr
Traverse City, MI 49696-9283

Phone

(231) 929-2354

Fax

(231) 929-2853

NPI assigned

May 19, 2023

Last updated

May 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1275224271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N 8TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371114",
            "telephone_number": "906-553-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CHARTWELL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496969283",
            "telephone_number": "231-929-2354",
            "fax_number": "231-929-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIRD",
        "first_name": "BREANNE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201013386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Agee
• Sally Agee
• Troy W Ahlstrom, M.D.
• Jacqueline Michele Aicher, M.S., CCC-SLP
• Donald James Aiken, M.D.
• Airstation Traverse City
• Airway Oxygen Inc
• Meredith Aja, MOT
• Sara Aja, PHARMD.
• Clifford Alan, DO

• Pediatric Occupational Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pediatric Occupational Therapist in Michigan

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