Active NPI
Jackie Renee Thatcher, O.T.R.
- Occupational Therapist
- Cheyenne, WY
National Provider Identifier
1033410873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR-040
- Practice address
- 4735 Maple Way
Cheyenne, WY 82009-5228 - Phone
- (307) 635-7605
- NPI assigned
- Nov 10, 2010
- 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 Therapist | 225X00000X | OTR-040 | WY | Primary |
Addresses
Primary practice location
4735 Maple Way
Cheyenne, WY 82009-5228
Mailing address
4735 Maple Way
Cheyenne, WY 82009-5228
Phone (888) 873-4221
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 |
|---|---|---|---|
| OTR-040 | WY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1033410873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 MAPLE WAY",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820095228",
"telephone_number": "888-873-4221",
"fax_number": "888-543-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 MAPLE WAY",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820095228",
"telephone_number": "307-635-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THATCHER",
"first_name": "JACKIE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.