Jaclyn Vooge, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-1447 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

May 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaclyn Miller Former name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Top Therapy PCGroup PAC ID 7315256765, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Top Therapy, PC

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1861877748

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Teton Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Riverton, WY
  • NPI 1275564122

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1487180790",
    "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": "307-463-2010"
        },
        {
            "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": "VOOGE",
        "first_name": "JACLYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154258300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Volunteers of America Northern Rockies
• Volunteers of America Northern Rockies
• Volunteers of America Northern Rockies
• Lydia Von Wald, RPH, PHARMD
• Laura Vonk
• Nicole M Vorderberg, RN
• Colby Vossler, PA-C
• Kristin Voycheske
• Corrine Vrijhof, BA
• Korbe Christopher Wadas

• Occupational Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.