Natalie Rene Wilmes, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1013563 Issued in MN

Practice address

490 Highway 96 W Ste 300
Shoreview, MN 55126-1961

Phone

(651) 451-3016

Fax

(651) 481-7040

NPI assigned

Jun 4, 2014

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

• Natalie Rene Wilmes 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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1396158697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE N",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550751923",
            "telephone_number": "651-387-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HIGHWAY 96 W STE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261961",
            "telephone_number": "651-451-3016",
            "fax_number": "651-481-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMES",
        "first_name": "NATALIE",
        "middle_name": "RENE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "1013563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "WILMES",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.