New Vision Rehabilitation

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-699 Issued in WY

Legal business name

NEW VISION REHABILITATION

Practice address

120 West Pearl Ave
Jackson, WY 83001

Phone

(307) 699-7478

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Kristopher Allison

Title

Member

Phone

(307) 699-7478

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1235560889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9698",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029698",
            "telephone_number": "307-699-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST PEARL AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-699-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "307-699-7478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12627042",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Anthony Nelson, D.O.
• Irene Ann Nelson, PA-C
• Laura Lee Nelson, RPH
• Loren Douglas Nelson, MD
• Steven Andrew Nelson, PHD
• Mickie Newby, LMSW
• Francis William Nicholson, PEER SPECIALIST
• Nicole Rue, Psy.D., LLC
• Sarah Niederbuhl, P.T., D.P.T., O.C.S.
• Sohrob Nimrouzi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.