Individual provider Active NPI

Katelyn Thoren, OT

  • Occupational Therapist
  • Worland, WY
National Provider Identifier
1346916210
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1587 Issued in WY
Practice address
1125 Charles Ave
Worland, WY 82401-4021
Phone
(307) 347-2535
Fax
(307) 347-4961
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 1587 WY Primary

Addresses

Primary practice location

1125 Charles Ave
Worland, WY 82401-4021

Mailing address

PO Box 790
Thermopolis, WY 82443-0790
Phone (307) 864-2146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826002622 WY Practitioner - Occupational Therapist in Private Practice 9537564653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
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)

1125 Charles Ave
Worland, WY 82401-4021
Phone (307) 347-2535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1587WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William H and Carrie Gottsche Foundation CurrentSince Aug 19, 2021 Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince Aug 19, 2021 Accepting new patients

Locations

148 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-0003

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

501 S 23rd St
Worland, WY 82401
Phone (307) 347-2535

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1346916210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824430790",
            "telephone_number": "307-864-2146",
            "fax_number": "307-864-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHARLES AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014021",
            "telephone_number": "307-347-2535",
            "fax_number": "307-347-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOREN",
        "first_name": "KATELYN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.