Floyd Dale Wilmes II, OTRL

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

OTR-130 Issued in WY

Practice address

1625 Chamberlain Rd
Casper, WY 82604-2737

Phone

(307) 234-8049

NPI assigned

Dec 15, 2006

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1346302023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 CHAMBERLAIN RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826042737",
            "telephone_number": "307-234-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CHAMBERLAIN RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826042737",
            "telephone_number": "307-234-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMES",
        "first_name": "FLOYD",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": "OTR-130",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112990200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Gage Williams, LCSW
• Bryanna Williams, RBT
• Mary Ellen Williams, NP-C
• Sharil L. Williams, M.S., LPC
• Katherine Willis
• Caleb Despain Wilson, M.D.
• Clayton Matthew Wilson, A.T., C., O.T.C.
• Gail Marie Wilson, RN, BSN
• Joanna Lee Wilson, PNP
• Martha Jo Wilson, FNP-C

• Developmentally Disabled Services Day Training Agency in Casper, WY
• Providers in Casper, WY by specialty
• Developmentally Disabled Services Day Training Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.