Active NPI
Andrew Ostrander
- Physical Rehabilitation Occupational Therapist
- Glenwood, MN
National Provider Identifier
1952890980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 60801293
- Practice address
- 20961 S Lakeshore Dr
Glenwood, MN 56334-5007 - Phone
- (320) 424-0740
- NPI assigned
- May 4, 2018
- Last updated
- May 4, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 60801293 | WA | Primary |
Addresses
Primary practice location
20961 S Lakeshore Dr
Glenwood, MN 56334-5007
Mailing address
20961 S Lakeshore Dr
Glenwood, MN 56334-5007
Phone (320) 424-0740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000084097 | Other | UNITED HEALTH CARE |
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 |
|---|---|---|---|
| 60801293 | WA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1952890980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20961 S LAKESHORE DR",
"city": "GLENWOOD",
"state": "MN",
"postal_code": "563345007",
"telephone_number": "320-424-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20961 S LAKESHORE DR",
"city": "GLENWOOD",
"state": "MN",
"postal_code": "563345007",
"telephone_number": "320-424-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTRANDER",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "WA",
"license": "60801293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "000084097",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenwood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.