Brenda Jo Walker, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 347 Issued in WY

Practice address

1202 E Jackson Ave
Riverton, WY 82501-3866

Phone

(307) 856-4337

Fax

(307) 856-0851

NPI assigned

Mar 22, 2017

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Female

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sinks Canyon Therapies IncGroup PAC ID 6800022716, 7 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.

• Sinks Canyon Therapies Inc

  • Physical Therapist
  • Lander, WY
  • NPI 1982944153
  Medicare reassignment Care Compare group NPD
• Osback Pharmaceuticals Inc

  dba Palace Pharmacy

  • Community/Retail Pharmacy
  • Lander, WY
  • NPI 1851462295
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1306377395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E JACKSON AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013866",
            "telephone_number": "307-856-4337",
            "fax_number": "307-856-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E JACKSON AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013866",
            "telephone_number": "307-856-4337",
            "fax_number": "307-856-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRENDA",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WY",
            "license": "OT 347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Vroman, PPC
• W Michael Crosby M D P C
• Wal-Mart Stores, Inc. (Vision Center 30-1457)
• Jessika Ruth Waldron
• Walgreen Co (Walgreens #10466)
• Megan Walls, DC
• Walmart Inc. (Walmart Pharmacy 10-1457)
• Derek Alan Walton, OD
• Gabriella Ward
• Mallory Ward, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.