Active NPI
Eric Michael Ayala, OTR/L
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1609010891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4750-026
- Practice address
- 316 N Milwaukee St
Suite 208
Milwaukee, WI 53202-5885 - Phone
- (888) 389-9031
- NPI assigned
- May 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 4750-026 | WI | Primary |
Addresses
Primary practice location
316 N Milwaukee St
Suite 208
Milwaukee, WI 53202-5885
Mailing address
1761 Norman Way
Madison, WI 53705-1221
Phone (608) 630-1759
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4750-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1609010891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 NORMAN WAY",
"city": "MADISON",
"state": "WI",
"postal_code": "537051221",
"telephone_number": "608-630-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 N MILWAUKEE ST",
"address_2": "SUITE 208",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025885",
"telephone_number": "888-389-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4750-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.