Individual provider Active NPI

Danielle Goodwin

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1285268599
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1930 E 12TH Street Ste 106
Casper, WY 82601-4407
Phone
(307) 554-7861
NPI assigned
Feb 25, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

1930 E 12TH Street Ste 106
Casper, WY 82601-4407

Mailing address

2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330001397 WY Practitioner - Occupational Therapist in Private Practice 9436588209 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy of Wyoming LLC Occupational Therapist CurrentSince Oct 1, 2020 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership CurrentSince Dec 1, 2024 Accepting new patients
Legacy Primary Care PLLC CurrentSince Nov 1, 2024 Accepting new patients
Hand Therapy of Wyoming LLC CurrentSince Oct 1, 2020 Accepting new patients
Ms Holdings, LLC CurrentSince Jan 7, 2023 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

1300 Venture Way
Ste 206
Casper, WY 82609
Phone (307) 268-9904

1541 Diamond Dr
Casper, WY 82601
Phone (307) 224-2060

102 Brownfield Rd
Douglas, WY 82633
Phone (307) 298-5758

1211 S Douglas Hwy
Ste 100
Gillette, WY 82716
Phone (307) 228-1005

Organizations & group practices 6

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1285268599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E 12TH STREET STE 106",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826014407",
            "telephone_number": "307-554-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.