Individual provider Active NPI

Ashley Pinkelman, OTR

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1386017077
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3711 N Ravenswood Ave
Suite 106
Chicago, IL 60613-3599
Phone
(733) 828-4260
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Pediatric Occupational Therapist 225XP0200X NU

Addresses

Primary practice location

3711 N Ravenswood Ave
Suite 106
Chicago, IL 60613-3599

Mailing address

5839 E Waterside Dr
Traverse City, MI 49684-7753
Phone (970) 294-2855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1386017077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 E WATERSIDE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847753",
            "telephone_number": "970-294-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 N RAVENSWOOD AVE",
            "address_2": "SUITE 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133599",
            "telephone_number": "733-828-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKELMAN",
        "first_name": "ASHLEY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.