Individual provider Active NPI

Michele Thompson, OTR/L M.ED

  • Occupational Therapist
  • Douglas, WY
National Provider Identifier
1396133401
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
211 Issued in WY
Practice address
30 3 Heart Ranch Rd
Douglas, WY 82633-9000
Phone
(307) 359-3929
NPI assigned
Dec 26, 2014
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X SPED TEACHER WY
Occupational Therapist 225X00000X 211 WY Primary

Addresses

Primary practice location

30 3 Heart Ranch Rd
Douglas, WY 82633-9000

Mailing address

30 3 Heart Ranch Rd
Douglas, WY 82633-9000
Phone (307) 359-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SPED TEACHERWYMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1396133401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 3 HEART RANCH RD",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826339000",
            "telephone_number": "307-359-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 3 HEART RANCH RD",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826339000",
            "telephone_number": "307-359-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHELE",
        "credential": "OTR/L M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WY",
            "license": "SPED TEACHER",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

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