Individual provider Active NPI

Nina Gabrielle Gutmanis, OTR

  • Occupational Therapist
  • Sheboygan, WI
National Provider Identifier
1346844255
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6873-26 Issued in WI
Practice address
1125 N 13TH St
Sheboygan, WI 53081-3281
Phone
(920) 803-1617
Fax
(920) 803-1622
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 6873-26 WI Primary

Addresses

Primary practice location

1125 N 13TH St
Sheboygan, WI 53081-3281

Mailing address

1125 N 13TH St
Sheboygan, WI 53081-3281
Phone (920) 803-1617

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL progressivebeginnings@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
6873-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Beginnings, LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

1125 N 13th St
Sheboygan, WI 53081
Phone (920) 208-9648

2131 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-1617

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1346844255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N 13TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813281",
            "telephone_number": "920-803-1617",
            "fax_number": "920-803-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N 13TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813281",
            "telephone_number": "920-803-1617",
            "fax_number": "920-803-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMANIS",
        "first_name": "NINA",
        "middle_name": "GABRIELLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6873-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "progressivebeginnings@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2131 S Business Dr",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530815656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.