Active NPI
Kathy L Bolding, OTD
- Occupational Therapist
- Cheyenne, WY
National Provider Identifier
1508417726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-330
- Practice address
- 901 S Greeley Hwy
Cheyenne, WY 82007-3019 - Phone
- (307) 634-2109
- NPI assigned
- Sep 28, 2019
- Last updated
- Sep 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-330 | WY | Primary |
Addresses
Primary practice location
901 S Greeley Hwy
Cheyenne, WY 82007-3019
Mailing address
429 Sierra Dr
Cheyenne, WY 82009-2742
Phone (307) 349-7583
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-330 | WY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569628800000",
"number": "1508417726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 SIERRA DR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820092742",
"telephone_number": "307-349-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S GREELEY HWY",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820073019",
"telephone_number": "307-634-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDING",
"first_name": "KATHY",
"middle_name": "L",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-28",
"last_updated": "2019-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OT-330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.