Individual provider Active NPI

Stephanie Rose Wright, MOTR

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1154654150
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-827 Issued in WY
Practice address
333 S Beech St
Casper, WY 82601-2805
Phone
(307) 258-4546
Fax
(307) 337-1279
NPI assigned
Sep 9, 2009
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR-827 WY Primary

Addresses

Primary practice location

333 S Beech St
Casper, WY 82601-2805

Mailing address

PO Box 382
Casper, WY 82602-0382
Phone (307) 258-4546

Other practice location 1

915 S McKinley St
Casper, WY 82601-3440
Phone (307) 584-5462

Other names 1

  • Mrs. Stephanie Rose White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000183 WY Practitioner - Occupational Therapist in Private Practice 1153468640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy ServicesGroup PAC ID 6103056304, 4 clinicians

Practice addresses (Care Compare)

333 S Beech St
Casper, WY 82601-2805
Phone (307) 277-1283

915 S McKinley St
Casper, WY 82601-3440
Phone (307) 277-1283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR-827WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Services Occupational Therapist CurrentSince Dec 1, 2013 Accepting new patients
TLC Therapies, Inc Occupational Therapist Past Accepting new patients

Locations

115 S Elm St
Ste 102
Casper, WY 82601
Phone (217) 821-1727

333 S Beech St
Casper, WY 82601
Phone (307) 258-4546

550 N Poplar St
Ste 100B
Casper, WY 82601

915 S McKinley St
Casper, WY 82601
Phone (307) 265-2182

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1154654150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826020382",
            "telephone_number": "307-258-4546",
            "fax_number": "307-337-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BEECH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012805",
            "telephone_number": "307-258-4546",
            "fax_number": "307-337-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 S McKinley St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013440",
            "country_code": "US",
            "telephone_number": "307-584-5462",
            "fax_number": "307-337-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2023-02-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WHITE",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 21, 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.

Verify at the official NPI Registry.