Teton Hand Therapy LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

OT059 Issued in WY

Legal business name

TETON HAND THERAPY LLC

Practice address

310 East Broadway
Jackson, WY 83001-0000

Phone

(307) 734-2877

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia C Griggs, OTR, CHT

Title

Director, Manager

Phone

(307) 734-2877

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Teton Hand Therapy LLC

  • Hand Occupational Therapist
  • Jackson, WY
  • NPI 1215086905

  4385549443

  Same PAC ID

Tax ID family

Teton Hand Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teton Hand Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Crested Butte, CO
  • NPI 1215211172
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1275747628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4596",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014596",
            "telephone_number": "307-734-2877",
            "fax_number": "307-734-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EAST BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010000",
            "telephone_number": "307-734-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR,  MANAGER",
        "authorized_official_telephone_number": "307-734-2877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR, CHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": "OT059",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WY",
            "license": "OT059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122059400",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "785001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teton County Hospital District (St John's Medical Center Pharmacy)
• Teton County School District 1
• Teton Crest Counseling LLC
• Teton Dermatology LLC
• Teton Hand Therapy LLC
• Teton Internal Medicine PC
• Teton MRI (MRI of Jackson Hole)
• Teton Oral & Maxillofacial Surgery
• Teton Oral and Maxillofacial Surgery
• Teton Outpatient Services LLC

• Customized Equipment (DME) in Jackson, WY
• Providers in Jackson, WY by specialty
• Customized Equipment (DME) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.