Ashley Renee Widrig, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008692 Issued in MI

Practice address

5659 Stadium Dr
Kalamazoo, MI 49009-1932

Phone

(693) 720-4436

Fax

(269) 372-0483

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1962823047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091932",
            "telephone_number": "693-720-4436",
            "fax_number": "269-372-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDRIG",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010406",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5201008692",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Teresa Wiciak, MD
• Debra Ruth Wickman, LMSW
• Wicks Therapy
• Tracey Wicks
• Gail Marie Widener, NP
• Margaret Wieberg
• Alexandria Wiegert
• Briana Wiel
• Rachel Iris Wieleba
• Christopher Wienczewski, MD

• Occupational Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.