Marcia Ann Nelson, OTRL
Individual provider Active NPI Occupational Therapist · Thermopolis, WY
NPI 1043403199 · NPPES record last updated Aug 22, 2007
Key facts
- NPI
- 1043403199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR027 (WY)
- Practice address
- 1025 Shoshoni
Childrens Resource Center
Thermopolis, WY 82443 - Phone
- (307) 864-9227
- Fax
- (307) 864-2296
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR027 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William H and Carrie Gottsche Foundation | Past |
Accepting new patients | |
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR027 | WY | Yes |
Addresses
Primary practice location
1025 Shoshoni
Childrens Resource Center
Thermopolis, WY 82443
Mailing address
116 Judy Lee St
Thermopolis, WY 82443
Phone (307) 864-3376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770688871 | Medicaid | WY |
Other names
- Marcia Ann Kilponen
Other providers in Thermopolis, WY
- Rachel E Miller
- Vernon Walter Miller
- Madison Moser
- Lonnie E Music
- Jeffrey Todd Myers
- Miranda Nelson
- Jessica Norris
- Cassandra Norskog
- Mary Jane Norskog
- North Big Horn Hospital District
All providers in Thermopolis, WY · Occupational Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.