Conne R Tippetts, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-155 Issued in WY

Practice address

639 W Coulter Ave
Powell, WY 82435-2527

Phone

(307) 754-9262

Fax

(307) 754-9283

NPI assigned

Sep 29, 2006

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

Other identifiers 2

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.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134211840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W COULTER AVE",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352527",
            "telephone_number": "307-754-9262",
            "fax_number": "307-754-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W COULTER AVE",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352527",
            "telephone_number": "307-754-9262",
            "fax_number": "307-754-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETTS",
        "first_name": "CONNE",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "310810",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "192550",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Sunderland, MSW
• Sunlight Psychiatry
• Katherine Lindsey Swope, M.S., CF-SLP
• Tequesta Bracing
• Douglas E Thomy, CRNA
• Bryan Kenneth Tipton, PA-C, MPAS
• Jessica L Tobin, D.C.
• Joseph Greg Toland, O.D.
• Michael D Tracy, M.D.
• Trevor K. Gardner DMD LLC

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

• 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.

Verify at the official NPI Registry.