Active NPI
Ashleigh Gardner
- Occupational Therapist
- Lander, WY
National Provider Identifier
1235800871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1546
- Practice address
- 1320 Bishop Randall Dr
Lander, WY 82520-3939 - Phone
- (307) 335-6384
- NPI assigned
- Sep 23, 2021
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-1546 | WY | |
| Occupational Therapist | 225X00000X | 1546 | WY | Primary |
Addresses
Primary practice location
1320 Bishop Randall Dr
Lander, WY 82520-3939
Mailing address
832 N 2ND St
Lander, WY 82520-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1282 E Geronimo PL
Chandler, AZ 85225-2048
9385 W Donald Dr
Peoria, AZ 85383-2988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | WY | MD | Occupational Therapist |
| OT-1546 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Single Specialty | Current | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
Organizations & group practices 1
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": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1235800871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 N 2ND ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 BISHOP RANDALL DR",
"city": "LANDER",
"state": "WY",
"postal_code": "825203939",
"telephone_number": "307-335-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ASHLEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OT-1546",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "1546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lander, WY
- Frontier Wyoming, L.L.C. (Frontier Home Health and Hospice)
- Frontier Wyoming, L.L.C. (Frontier Home Health and Hospice)
- Bruce E Gallinger
- Kacie McKenna Gallo, M.D.
- Gannett Peak Physical Medicine LLC
- Matthew Gardner, NRP
- Lindsey Gauderer
- Wendy Michelle Gebhart, N.D., LAC
- Brian Dale Gee, MD
- Phillip Roy Gilbertson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.