Individual provider Active NPI

Susan Jean Wright, OTR/L

  • Occupational Therapist
  • Riverton, WY
National Provider Identifier
1396907895
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-546 Issued in WY
Practice address
1002 Forest Dr
Riverton, WY 82501-2918
Phone
(307) 856-1511
Fax
(307) 856-1792
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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 OTR-546 WY Primary

Addresses

Primary practice location

1002 Forest Dr
Riverton, WY 82501-2918

Mailing address

501 E Jefferson Ave
Riverton, WY 82501-4737
Phone (307) 856-5624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002929 WY Practitioner - Occupational Therapist in Private Practice 2365869260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2002
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)

634 Main St
Lander, WY 82520-3034
Phone (307) 332-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR-546WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinks Canyon Therapies Inc Occupational Therapist CurrentSince Mar 23, 2024 Accepting new patients
Osback Pharmaceuticals Inc PastSince Mar 23, 2024 Accepting new patients

Locations

634 Main St
Lander, WY 82520
Phone (307) 332-2715

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, 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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1396907895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E JEFFERSON AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014737",
            "telephone_number": "307-856-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 FOREST DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012918",
            "telephone_number": "307-856-1511",
            "fax_number": "307-856-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.