OCCUPATIONAL THERAPY SERVICES (NPI# 1255797007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255797007 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL THERAPY SERVICES |
| Practice Address |
612 Country Club Dr Evanston WY 82930-3252 |
| Practice Telephone | 3076770669 |
| Mailing Telephone | 3076770669 |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-01-09 |
| Authorized Official Name | DR. CAROL DIANE DAVIS (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 3076770669 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
OTR-509 | WY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700181963 | Occupational Therapy Services | Occupational Therapist | 8145 Birch Dr, Rye, CO 81069-8809 | 2011-01-20 |
| 1760620223 | Occupational Therapy Services | Occupational Therapist | 4325 Laurel St Ste 102, Anchorage, AK 99508-5364 | 2009-01-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | OCCUPATIONAL THERAPY SERVICES | Route 4, Hartland, VT 05048 |
| New York State Corporations | OCCUPATIONAL THERAPY SERVICES FOR CHILDREN AND FAMILIES, P.C. | 611 Broadway, Ste 908, New York, New York 10012 |
| Indiana Business Entities | OCCUPATIONAL THERAPY SERVICES FOR KIDS LLC | 11095 Whitcomb Street, Crown Point, IN 46307 |
| Virginia Business Entities | OCCUPATIONAL THERAPY SERVICES INC. | |
| Connecticut Business Registrations | OCCUPATIONAL THERAPY SERVICES OF CONNECTICUT, INC. | 1783 Meriden-waterbury, Milldale, CT 06467 |
| New York State Corporations | OCCUPATIONAL THERAPY SERVICES OF WESTCHESTER, P.C. | 91 Neds Mountain Road, Ridgefield, Ct 06877 |
| Virginia Business Entities | Occupational Therapy Services P.C. | 1327 Poindexter Street, Chesapeake, Virginia 23324 |
| Oregon Corporations, Companies and Business Names | OCCUPATIONAL THERAPY SERVICES, INC. | 492 E 13th Ave Ste 101, Eugene, OR 97401 |
| Washington State Corporations | OCCUPATIONAL THERAPY SERVICES, LLC | 1845 Maple St, Unit 31, Wenatchee, WA 98801-8238 |
| Street Address |
612 COUNTRY CLUB DR |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437515285 | Carol Diane Davis | Occupational Therapist | 612 Country Club Dr, Evanston, WY 82930-3252 | 2016-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306243852 | Presbyterian Homes Outpatient Rehabilitation Agency LLC | Clinic/Center | 3200 Grant St, Evanston, IL 60201-1903 | 2014-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588134126 | Ropes and Roses Therapy Services, LLC | Clinic/Center | 4250 Six Mile Rd, Casper, WY 82604-1939 | 2018-11-27 |
| 1609020254 | Grand Teton Healing Center Inc | Clinic/Center | 5715 E 2nd St, Casper, WY 82609-4322 | 2008-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.