Individual provider Active NPI

Katelin Stommes, OTR/L

  • Occupational Therapist
  • Sartell, MN
National Provider Identifier
1245819564
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5796 Issued in MN
Practice address
111 2ND St S
Sartell, MN 56377-1917
Phone
(320) 281-3339
NPI assigned
Apr 5, 2021
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5796 MN Primary

Addresses

Primary practice location

111 2ND St S
Sartell, MN 56377-1917

Mailing address

1411 Grizzly LN
Sartell, MN 56377-1897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001134 MN Practitioner - Occupational Therapist in Private Practice 0648688937 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sartell Pediatrics, P.a. CurrentSince Mar 1, 2022 Accepting new patients
Children's Therapy Works, Inc Occupational Therapist CurrentSince Apr 26, 2021 Accepting new patients

Locations

111 2nd St S
Sartell, MN 56377
Phone (320) 281-3339

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12435/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1245819564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 GRIZZLY LN",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771917",
            "telephone_number": "320-281-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOMMES",
        "first_name": "KATELIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "5796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.