Kim Winters Woulas, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA9725 Issued in FL

Practice address

8435 Antelope Ave
Palm Bay, FL 32909-1107

Phone

(321) 727-9887

Fax

(321) 727-9887

NPI assigned

Sep 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Anne Winters Former name

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": "1190505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190505600000",
    "number": "1316133366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 ANTELOPE AVE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329091107",
            "telephone_number": "321-727-9887",
            "fax_number": "321-727-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 ANTELOPE AVE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329091107",
            "telephone_number": "321-727-9887",
            "fax_number": "321-727-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOULAS",
        "first_name": "KIM",
        "middle_name": "WINTERS",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-23",
        "last_updated": "2007-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WINTERS",
            "middle_name": "ANNE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitchell Anthony Womack, DC
• Marcy Lyn Wood, LMT
• Lavell Woodard Jr.
• Shonteria Woodrow
• Denise Workman
• Cassandra Wright
• Santa Wright
• Steven Wayne Wright, D.O.
• Tanisha Wyche
• Curtis Wycoff

• Occupational Therapy Assistant in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2007; 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.