Individual provider Active NPI

Olivia L Donald, OTRL

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1003029653
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT716 Issued in WY
Practice address
2665 E 2ND St
Casper, WY 82609-2045
Phone
(307) 337-1740
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-716 WY
Occupational Therapist 225X00000X OT716 WY Primary

Addresses

Primary practice location

2665 E 2ND St
Casper, WY 82609-2045

Mailing address

2665 E 2ND St
Casper, WY 82609-2045
Phone (307) 337-1740

Other identifiers 1

IdentifierTypeStateIssuer
OTR-716OtherWYSTATE LICENSE

Other names 1

  • Olivia L Crouch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 307physicaltherapy@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000185 WY Practitioner - Occupational Therapist in Private Practice 9032200563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
307 Physical TherapyGroup PAC ID 1759638596, 5 clinicians

Practice addresses (Care Compare)

2665 E 2ND St
Casper, WY 82609-2045
Phone (307) 337-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
716WYMDClinical Psychologist
OT-716WYMDOccupational Therapist
OT716WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
307 Physical Therapy CurrentSince Jun 1, 2018 Accepting new patients
Northplatte Physical Therpy Services Inc PastSince Nov 16, 2010 Accepting new patients

Locations

2665 E 2nd St
Casper, WY 82609
Phone (307) 337-1740

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1003029653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045",
            "telephone_number": "307-337-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045",
            "telephone_number": "307-337-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "OLIVIA",
        "middle_name": "L",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-716",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTR-716",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "307physicaltherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "protected email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4725 Vista Way",
            "city": "Casper",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826016923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "CROUCH",
            "middle_name": "L",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.