Individual provider Active NPI

Cindy Blazonin-Niemi, C.O.T.A

  • Occupational Therapy Assistant
  • Ironwood, MI
National Provider Identifier
1649563149
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202005723 Issued in MI
Practice address
N10504 Grandview LN
Ironwood, MI 49938-9621
Phone
(906) 932-5990
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5202005723MIMDOccupational Therapy Assistant
1766-027WIMDOccupational Therapy Assistant

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1766-027 WI
Occupational Therapy Assistant 224Z00000X 5202005723 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

N10504 Grandview LN
Ironwood, MI 49938-9621

Mailing address

141 W Larch St
Ironwood, MI 49938-2721
Phone (906) 364-0194

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2011.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1649563149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W LARCH ST",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499382721",
            "telephone_number": "906-364-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10504 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389621",
            "telephone_number": "906-932-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZONIN-NIEMI",
        "first_name": "CINDY",
        "credential": "C.O.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1766-027",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202005723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.