NPIMap

Organization Active NPI

Elite Therapy Services

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1225465669
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ELITE THERAPY SERVICES
Practice address
333 S Beech St
Casper, WY 82601-2805
Phone
(307) 258-4546
Fax
(307) 337-1279
NPI assigned
Sep 30, 2013
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Jamie Nicole Soldat, COTA/L
Title
Owner
Phone
(307) 277-1283

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTR-827 WY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

333 S Beech St
Casper, WY 82601-2805

Mailing address

PO Box 382
Casper, WY 82602-0382
Phone (307) 277-1283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140310001214 WY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103056304 Receives reassigned benefits from 6 practitioners
Practice locations: Casper, WY

National Provider Directory

National Provider Directory

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

441 S Center St
Casper, WY 82601
Phone (307) 258-4546

550 N Poplar St
Ste 100B
Casper, WY 82601

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1225465669",
    "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": "307-277-1283",
            "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": [],
    "basic": {
        "organization_name": "ELITE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "SOLDAT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-277-1283",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-827",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.