Individual provider Active NPI

Genae Elise Herbig, M.S.O.T.R./L.

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1487836649
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR 683 Issued in WY
Practice address
107 N Washington St
Casper, WY 82601-2736
Phone
(307) 315-6184
Fax
(307) 315-6185
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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 683 WY Primary

Addresses

Primary practice location

107 N Washington St
Casper, WY 82601-2736

Mailing address

PO Box 1569
Casper, WY 82602-1569
Phone (307) 315-6184

Other names 1

  • Ms. Genae Elise Nannemann Former 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
683WYMDCounselor
OTR 683WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Therapies, Inc Occupational Therapist Past Accepting new patients
Caring Hands Therapy, Inc Occupational Therapist PastSince Feb 2, 2004 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1487836649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826021569",
            "telephone_number": "307-315-6184",
            "fax_number": "307-315-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N WASHINGTON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012736",
            "telephone_number": "307-315-6184",
            "fax_number": "307-315-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBIG",
        "first_name": "GENAE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "M.S.O.T.R./L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR 683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENAE",
            "last_name": "NANNEMANN",
            "middle_name": "ELISE",
            "prefix": "MS.",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former 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 Oct 17, 2011; 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.