Grant A Basko

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-763 Issued in WY

Practice address

820 W Main St
Riverton, WY 82501-3342

Phone

(307) 857-7074

Fax

(307) 856-6459

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• William H and Carrie Gottsche Foundation

  dba Gottsche Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  Medicare reassignment Care Compare group NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)
• Teton Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Riverton, WY
  • NPI 1275564122

  Occupational Therapist

  NPD (past)
• Top Therapy, PC

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1861877748

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1255666137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829022400",
            "telephone_number": "307-362-4336",
            "fax_number": "307-362-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013342",
            "telephone_number": "307-857-7074",
            "fax_number": "307-856-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKO",
        "first_name": "GRANT",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Ballard, O.D.
• Banner Health Physicians West LLC
• Shanda Barlow
• Heather Barrows
• Wyatt Chester Barrus, PA-C
• Brandon Baxter
• Richard Doug Bebout
• Codi Beckman, PTA
• Susan A Bell-Milby, CNS, BC
• Byron Bell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.

Verify at the official NPI Registry.