Individual provider Active NPI

Marla Jean Wonser, MSOT, OTR,L

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1487712477
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
250 Issued in WY
Practice address
3401 Stagecoach Dr
Casper, WY 82604-5446
Phone
(307) 237-1561
Fax
(307) 268-3034
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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 250 WY Primary

Addresses

Primary practice location

3401 Stagecoach Dr
Casper, WY 82604-5446

Mailing address

3401 Stagecoach Dr
Casper, WY 82604-5446
Phone (307) 237-1561

Other identifiers 1

IdentifierTypeStateIssuer
122217103MedicaidWY

Other names 1

  • Ms. Marla Jean Wonser Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
250WYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1487712477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 STAGECOACH DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045446",
            "telephone_number": "307-237-1561",
            "fax_number": "307-268-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 STAGECOACH DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045446",
            "telephone_number": "307-237-1561",
            "fax_number": "307-268-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONSER",
        "first_name": "MARLA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSOT, OTR,L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122217103",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "WONSER",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.