Jessica Rae Fahsholtz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-1811 Issued in WY

Practice address

1406 W Main St
Riverton, WY 82501-3239

Phone

(307) 857-7074

Fax

(307) 856-6459

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Texas Tech University Health Science Center School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teton Therapy PCGroup PAC ID 3971586199, 9 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 and National Provider Directory roles.

• Teton Therapy, P.C.

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

  Occupational Therapist, WY

  Medicare reassignment Care Compare group NPD
• Top Therapy, PC

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

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1548091051",
    "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": "1406 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013239",
            "telephone_number": "307-857-7074",
            "fax_number": "307-856-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHSHOLTZ",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT-1811",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Engum, RN
• Brian Enos
• Tinsley M Erickson, NTP
• Eyes on Fremont LLC
• Penny Fahey
• Vicki Morrison Farris
• Jonathan L Faubion, DC
• Alli Jo Ferris
• John D Ferris, MD
• Shawna Fife

• All providers in Riverton, WY
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.