Jessica Groll

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1594 Issued in WY

Practice address

109 S Main St Ste D
Lyman, WY 82937-5177

Phone

(307) 787-3278

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Physical Therapy, LLC

  • Physical Therapist
  • Rock Springs, WY
  • NPI 1700081239

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1114641693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST STE D",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829375177",
            "telephone_number": "307-787-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST STE D",
            "city": "LYMAN",
            "state": "WY",
            "postal_code": "829375177",
            "telephone_number": "307-787-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evanston Clinic Corp (Bridger Valley Family Practice)
• Evanston Hospital Corporation (Bridger Valley Medical Group)
• Evanston Hospital Corporation
• David Christopher Fields
• Felicia Renee Galvin, FNP-BC
• Bryce Habel, PHARMD
• Christopher D Harris, HIS
• Jason R. Haycock, DC
• High Country Behavioral Health
• High Country Behavioral Health

• Occupational Therapist in Lyman, WY
• Providers in Lyman, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.