Individual provider Active NPI

Julie Maria Quinlivan, MS, OTR/L

  • Pediatric Occupational Therapist
  • Cheyenne, WY
National Provider Identifier
1164953824
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
)TR-032 Issued in WY
Practice address
1000 Morningside Dr
Cheyenne, WY 82001-7429
Phone
(307) 631-2392
NPI assigned
Mar 24, 2017
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X )TR-032 WY Primary

Addresses

Primary practice location

1000 Morningside Dr
Cheyenne, WY 82001-7429

Mailing address

1000 Morningside Dr
Cheyenne, WY 82001-7429
Phone (307) 631-2392

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
)TR-032WYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1164953824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MORNINGSIDE DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820017429",
            "telephone_number": "307-631-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MORNINGSIDE DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820017429",
            "telephone_number": "307-631-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLIVAN",
        "first_name": "JULIE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WY",
            "license": ")TR-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.