NPIMap

Organization Active NPI

Forever Wild Occupational Therapy

  • Occupational Therapist
  • Saranac Lake, NY
National Provider Identifier
1194483263
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FOREVER WILD OCCUPATIONAL THERAPY
Practice address
38 Tahoma Rd
Saranac Lake, NY 12983-2314
Phone
(191) 961-6585
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Ashley Garwood, OTR/LNPI 1215357132
Title
Occupational Therapist/Owner
Phone
(919) 616-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

38 Tahoma Rd
Saranac Lake, NY 12983-2314

Mailing address

38 Tahoma Rd
Saranac Lake, NY 12983-2314
Phone (191) 961-6585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1194483263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TAHOMA RD",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832314",
            "telephone_number": "191-961-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TAHOMA RD",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832314",
            "telephone_number": "191-961-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER WILD OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "GARWOOD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "919-616-5850",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.