Active NPI
Heidi T Gleason, OTR/L
- Occupational Therapist
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-1315
- Practice address
- 4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265 - Phone
- (307) 472-8871
- Fax
- (307) 265-9040
- NPI assigned
- Jan 17, 2006
- 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 | OT-1315 | WY | Primary |
Addresses
Primary practice location
4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265
Mailing address
4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265
Phone (307) 472-8871
Other practice location 1
4070 Plaza Dr Ste 107
Casper, WY 82604-4296
Phone (307) 337-3204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191120000389 | WY | Practitioner - Occupational Therapist in Private Practice | 2264443464 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Casper Orthopaedic Associates PC
Practice addresses (Care Compare)
4140 Centennial Hills Blvd
Suite B
Casper, WY 82609-3265
Phone (307) 472-8891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1315 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casper Orthopaedic Associates PC | Current | Accepting new patients | |
| Casper Orthopaedic Associates PC | Current | Accepting new patients | |
| Casper Orthopaedic Associates PC | Occupational Therapist | Past | Accepting new patients |
Locations
4140 Centennial Hills Blvd
Ste B
Casper, WY 82609
Phone (307) 472-8871
4070 Plaza Dr
Ste 107
Casper, WY 82604
Phone (307) 337-3204
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Douglas, WY
- NPI 1912622721
-
- Orthopaedic Surgery Physician
- Casper, WY
- NPI 1962494864
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1295863744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1114907151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 CENTENNIAL HILLS BLVD STE B",
"city": "CASPER",
"state": "WY",
"postal_code": "826093265",
"telephone_number": "307-472-8871",
"fax_number": "307-265-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 CENTENNIAL HILLS BLVD STE B",
"city": "CASPER",
"state": "WY",
"postal_code": "826093265",
"telephone_number": "307-472-8871",
"fax_number": "307-265-9040"
}
],
"practiceLocations": [
{
"address_1": "4070 Plaza Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826044296",
"country_code": "US",
"telephone_number": "307-337-3204",
"fax_number": "307-337-3206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEASON",
"first_name": "HEIDI",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OT-1315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.