Individual provider Active NPI

Natasha Victoria Winter, OTD, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1801405196
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.016088 Issued in IL
Practice address
4908 N Elston Ave
Chicago, IL 60630-2506
Phone
(773) 205-8505
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 056.016088 IL Primary

Addresses

Primary practice location

4908 N Elston Ave
Chicago, IL 60630-2506

Mailing address

4908 N Elston Ave
Chicago, IL 60630-2506
Phone (773) 205-8505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003631 IL Practitioner - Occupational Therapist in Private Practice 8729512629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorycare CorporationGroup PAC ID 3870785132, 11 clinicians

Practice addresses (Care Compare)

1057 Chadwick CT
Aurora, IL 60502-9323
Phone (630) 800-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.016088ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare Corporation CurrentSince Nov 7, 2024 Accepting new patients
Puddingstone Place, LLC Occupational Therapist PastSince Aug 1, 2020 Accepting new patients

Locations

2835 N Sheffield Ave
Ste 202
Chicago, IL 60657
Phone (773) 328-2025

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1801405196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302506",
            "telephone_number": "773-205-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302506",
            "telephone_number": "773-205-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "NATASHA",
        "middle_name": "VICTORIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.016088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.