Paula M Stommes, OTR L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

102195 Issued in MN

Practice address

9401 Winnetka Ave N
Brooklyn Park, MN 55445-1618

Phone

(763) 255-3810

Fax

(763) 255-3910

NPI assigned

Jun 9, 2006

Reactivated

Jul 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Paula M Stommes Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Achievement Center Inc.

  • Occupational Therapist
  • Woodbury, MN
  • NPI 1952411175
  Medicare reassignment NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1194166538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 WINNETKA AVE. N",
            "address_2": "RELIABLE MEDICAL SUPPLY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "763-255-3810",
            "fax_number": "763-255-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WINNETKA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451618",
            "telephone_number": "763-255-3810",
            "fax_number": "763-255-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1194166538",
        "last_name": "STOMMES",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-07-15",
        "deactivation_date": "2013-03-19",
        "reactivation_date": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "102195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MINNESOTA",
            "identifier": "081H2BR",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP56110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6405939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "STOMMES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Stratus Medical Group
• Suzanne E. Strauss, PNP
• Derjaun Strons
• Alex Michael Styrbicki, DMD
• Ambereen F Suhrwardy

• Pediatric Occupational Therapist in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.