Active NPI
Winsome Backer, COTAQ
- Occupational Therapy Assistant
- Sutherland, NE
National Provider Identifier
1013320852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 883
- Practice address
- 333 Maple St
Sutherland, NE 69165-3000 - Phone
- (908) 386-4393
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 883 | NE | Primary |
Addresses
Primary practice location
333 Maple St
Sutherland, NE 69165-3000
Mailing address
PO Box 307
Sutherland, NE 69165
Phone (908) 386-4393
Other names 1
- Winsome E Paulman
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 |
|---|---|---|---|
| 883 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Quality Care-NE LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sutherland Care Center
- Skilled Nursing Facility
- Sutherland, NE
- NPI 1639125032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1013320852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "SUTHERLAND",
"state": "NE",
"postal_code": "69165",
"telephone_number": "908-386-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MAPLE ST",
"city": "SUTHERLAND",
"state": "NE",
"postal_code": "691653000",
"telephone_number": "908-386-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKER",
"first_name": "WINSOME",
"credential": "COTAQ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NE",
"license": "883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WINSOME",
"last_name": "PAULMAN",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sutherland, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.