Organization Active NPI

Augsburg Fairview Academy

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1578989984
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AUGSBURG FAIRVIEW ACADEMY
Practice address
2504 Columbus Ave
Minneapolis, MN 55404-4432
Phone
(612) 333-1614
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Ricky White
Title
Director
Phone
(612) 294-1032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2504 Columbus Ave
Minneapolis, MN 55404-4432

Mailing address

2504 Columbus Ave
Minneapolis, MN 55404-4432
Phone (612) 333-1614

National Provider Directory

National Provider Directory
Tax ID family
Augsburg Academy for Health Careers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1578989984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 COLUMBUS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044432",
            "telephone_number": "612-333-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 COLUMBUS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044432",
            "telephone_number": "612-333-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGSBURG FAIRVIEW ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-294-1032"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.