Deborah Datteri McMillan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-364 Issued in WY

Practice address

808 North St
Cody, WY 82414-8438

Phone

(307) 527-7060

Fax

(307) 587-2497

NPI assigned

Sep 25, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Canyon Hand Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Cody, WY
  • NPI 1639476443
  NPD (past)
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)
• William H and Carrie Gottsche Foundation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1013103944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VISTA VIEW LN",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149606",
            "telephone_number": "307-527-9965",
            "fax_number": "307-527-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 NORTH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148438",
            "telephone_number": "307-527-7060",
            "fax_number": "307-587-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "DEBORAH",
        "middle_name": "DATTERI",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770688871",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rachelle McCullough Roberts, PHARMD
• Morgan McDaniel
• Jennifer L McDonald, M.A., P.P.C.
• Judson C McKee, MSED, PMFT
• Shanelee Ann McKinley
• Karen M. Meador, PT
• Medical Center Pharmacy LLC
• Megan Fallon LCSW
• Pedro Alberto Mendoza, AGACNP
• Meridian Dental Implants & Oral Surgery LLC

• All providers in Cody, WY
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.