Active NPI
Bonnie Bowman Schlesselman, COTA/L
- Occupational Therapy Assistant
- Sheridan, WY
National Provider Identifier
1013552082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA1254
- Practice address
- 1851 Big Horn Ave Sheridan Manor
Sheridan, WY 82801 - Phone
- (307) 673-2109
- Fax
- (307) 674-5814
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA1254 | WY | Primary |
Addresses
Primary practice location
1851 Big Horn Ave Sheridan Manor
Sheridan, WY 82801
Mailing address
1851 Big Horn Ave Sheridan Manor
Sheridan, WY 82801
Phone (307) 674-4416
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA1254 | WY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1013552082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 BIG HORN AVE SHERIDAN MANOR",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-674-4416",
"fax_number": "307-674-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 BIG HORN AVE SHERIDAN MANOR",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-673-2109",
"fax_number": "307-674-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLESSELMAN",
"first_name": "BONNIE",
"middle_name": "BOWMAN",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WY",
"license": "OTA1254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.