Individual provider Active NPI

Mary Collins Guenzel, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Laramie, WY
National Provider Identifier
1245485101
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
004 Issued in WY
Practice address
1150 N 3Rd St
Laramie, WY 82072-2514
Phone
(307) 742-6641
Fax
(307) 742-9203
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 004 WY Primary

Addresses

Primary practice location

1150 N 3Rd St
Laramie, WY 82072-2514

Mailing address

1150 N 3Rd St
Laramie, WY 82072-2514
Phone (307) 742-6641

Other names 1

  • Mrs. Mary Ann Collins Former name

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

State licenses

LicenseStateTypeSpecialty
004WYMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1245485101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722514",
            "telephone_number": "307-742-6641",
            "fax_number": "307-742-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722514",
            "telephone_number": "307-742-6641",
            "fax_number": "307-742-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENZEL",
        "first_name": "MARY",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WY",
            "license": "004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COLLINS",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.