Theresa Roseanne Anthony, COTA/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

250098 Issued in WY

Practice address

6570 S Springs Dr
Casper, WY 82604-5496

Phone

(307) 267-8978

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2012.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1093078032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6570 S SPRINGS DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045496",
            "telephone_number": "307-267-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 S SPRINGS DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045496",
            "telephone_number": "307-267-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "THERESA",
        "middle_name": "ROSEANNE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "250098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew Therapy, LLC
• Angels Home Care LLC
• Lydia Louise Anikin, MD
• Amanda Labeth Annis, MS
• Joelle Anthony
• Applied Insight Counseling
• Apria Healthcare LLC
• Arcuri Disability Services, LLC
• Laura Arcuri
• Arlene Viray

• All providers in Casper, WY
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.