Aimee Marie Neubecker, M.S., AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000834 Issued in MI

Practice address

4925 Orchard Lake Rd
West Bloomfield, MI 48323-2964

Phone

(616) 889-9548

NPI assigned

Jan 9, 2018

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

Other names 1

• Aimee Marie Frasier Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1518474733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 MISTY CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271797",
            "telephone_number": "616-889-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232964",
            "telephone_number": "616-889-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBECKER",
        "first_name": "AIMEE",
        "middle_name": "MARIE",
        "credential": "M.S., AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "FRASIER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Athletic Trainer in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.