Individual provider Active NPI

Jaime Paternoster, OTR/L

  • Occupational Therapist
  • Florence, WI
National Provider Identifier
1952725129
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3992-026 Issued in WI
Practice address
501 Lake Ave
Courthouse Lower Level
Florence, WI 54121-8805
Phone
(715) 528-3296
NPI assigned
Feb 9, 2014
Last updated
Feb 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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 3992-026 WI Primary

Addresses

Primary practice location

501 Lake Ave
Courthouse Lower Level
Florence, WI 54121-8805

Mailing address

W8095 Oakridge Rd
Iron Mountain, MI 49801-9341
Phone (906) 828-1263

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
3992-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson County Healthcare System Occupational Therapist Past Accepting new patients

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, 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": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1952725129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8095 OAKRIDGE RD",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019341",
            "telephone_number": "906-828-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LAKE AVE",
            "address_2": "COURTHOUSE LOWER LEVEL",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "541218805",
            "telephone_number": "715-528-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNOSTER",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3992-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.