Active NPI
Janet S Pisacka, M.S.O.T.
- Occupational Therapist
- Douglas, WY
National Provider Identifier
1114123148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR-713
- Practice address
- 111 S 5TH St
Douglas, WY 82633-2434 - Phone
- (307) 358-9464
- Fax
- (307) 358-9330
- NPI assigned
- Jun 26, 2007
- Last updated
- Jul 8, 2007
- 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-713 | WY | Primary |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633-2434
Mailing address
PO Box 1790
Douglas, WY 82633-1790
Phone (307) 358-9464
Other names 1
- Janet S Barr
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-713 | WY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114123148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1790",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826331790",
"telephone_number": "307-358-9464",
"fax_number": "307-358-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 5TH ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332434",
"telephone_number": "307-358-9464",
"fax_number": "307-358-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISACKA",
"first_name": "JANET",
"middle_name": "S",
"credential": "M.S.O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR-713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "BARR",
"middle_name": "S",
"credential": "M.S.O.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.