Individual provider Active NPI

Danielle Wakelin, OTR/L

  • Occupational Therapist
  • Cheyenne, WY
National Provider Identifier
1457026049
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1609 Issued in WY
Practice address
603 E Carlson St Ste 304
Cheyenne, WY 82009-4443
Phone
(307) 514-9999
Fax
(307) 514-6006
NPI assigned
Aug 16, 2021
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7075-26 WI
Occupational Therapist 225X00000X OT1609 WY Primary

Addresses

Primary practice location

603 E Carlson St Ste 304
Cheyenne, WY 82009-4443

Mailing address

1406 W Main St
Riverton, WY 82501-3239
Phone (307) 463-0462

Other names 1

  • Danielle Cox Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408001740 WY Practitioner - Occupational Therapist in Private Practice 9931547148 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7075-26WIMDOccupational Therapist
OT1609WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Therapy, P.C. Occupational Therapist CurrentSince Mar 12, 2024 Accepting new patients
Top Therapy, PC Occupational Therapist CurrentSince Feb 27, 2024 Accepting new patients

Locations

603 E Carlson St
Ste 304
Cheyenne, WY 82009
Phone (307) 514-9999

1406 W Main St
Riverton, WY 82501
Phone (307) 463-0462

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1457026049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013239",
            "telephone_number": "307-463-0462",
            "fax_number": "307-856-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E CARLSON ST STE 304",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094443",
            "telephone_number": "307-514-9999",
            "fax_number": "307-514-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKELIN",
        "first_name": "DANIELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "7075-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "COX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.