Active NPI
Ashley K Kliner, OTR/L
- Occupational Therapist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1353
- Practice address
- 1200 S Columbia Rd
Grand Forks, ND 58201-4036 - Phone
- (701) 780-5000
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1353 | ND | Primary |
Addresses
Primary practice location
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Mailing address
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
Other names 1
- Ashley K Peck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1353 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Pediatric Therapy Partners, Inc. | Occupational Therapist | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients |
Locations
400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100
607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357
711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365
2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000
419 Atlantic Ave
Thief River Falls, MN 56701
Phone (218) 416-1482
412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
2600 Demers Ave
Ste 101
Grand Forks, ND 58201
Phone (701) 757-3045
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
1811 S Washington St
Grand Forks, ND 58201
Phone (701) 757-3045
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Crookston, MN
- NPI 1760494330
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1285041277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014036",
"telephone_number": "701-780-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014036",
"telephone_number": "701-780-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINER",
"first_name": "ASHLEY",
"middle_name": "K",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "PECK",
"middle_name": "K",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.