Individual provider Active NPI

Frederick Stuart Ainslie, O.T.R.

  • Occupational Therapist
  • Ironwood, MI
National Provider Identifier
1932372810
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000918 Issued in MI
Practice address
1310 E Cloverland Dr
Ironwood, MI 49938-1606
Phone
(906) 932-4200
NPI assigned
Apr 10, 2008
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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 1899026 WI
Occupational Therapist 225X00000X 5201000918 MI Primary

Addresses

Primary practice location

1310 E Cloverland Dr
Ironwood, MI 49938-1606

Mailing address

1310 E Cloverland Dr
Ironwood, MI 49938-1606
Phone (906) 932-4200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201000918MIMDOccupational Therapist
1899026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1932372810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E CLOVERLAND DR",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499381606",
            "telephone_number": "906-932-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E CLOVERLAND DR",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499381606",
            "telephone_number": "906-932-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSLIE",
        "first_name": "FREDERICK",
        "middle_name": "STUART",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1899026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000918",
            "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 Sep 24, 2012; 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.