Cowboy State Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

COWBOY STATE THERAPY LLC

Practice address

7008 Hawthorne Dr
Cheyenne, WY 82009-2513

Phone

(720) 917-5557

NPI assigned

Aug 1, 2025

Last updated

Aug 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brock Marion Wahlert, OTR/LNPI 1538898358

Title

Occupational Therapist

Phone

(719) 821-3911

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brock Wahlert

  • Occupational Therapist
  • Cheyenne, WY
  • NPI 1538898358
  NPD Authorized official

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754179200000",
    "number": "1083598122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 STINSON AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820071112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 HAWTHORNE DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092513",
            "telephone_number": "720-917-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Stinson Ave",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820071112",
            "country_code": "US",
            "telephone_number": "719-821-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COWBOY STATE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "WAHLERT",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "719-821-3911",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585068400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Courtright, PA
• Christin Marie Covello, PHD, M.A.E., LPC
• Raven Coward, LCSW
• Cowboy Hearing LLC
• Cowboy Spine & Performance Center
• Cowboy Urgent Care, Inc (Big Horn Urgent Care)
• Andrew Cox, RPH, PHARMD
• Mary Batchelder Cox, APRN BC
• Sharon Cox
• Krista Cozad, FNP-C

• Pediatric Occupational Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Pediatric Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; 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.