Individual provider Active NPI

Andrew Stiles, OTR/L

  • Occupational Therapist
  • Thermopolis, WY
National Provider Identifier
1649744103
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-1394 Issued in WY
Practice address
1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Phone
(814) 312-8387
NPI assigned
Jan 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-007666 AZ
Occupational Therapist 225X00000X OC015085 PA
Occupational Therapist 225X00000X OT-1394 WY Primary

Addresses

Primary practice location

1210 Canyon Hills Rd
Thermopolis, WY 82443-3137

Mailing address

715 Churchill CT
Cranberry Township, PA 16066-4211
Phone (814) 312-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521000201 WY Practitioner - Occupational Therapist in Private Practice 7315280070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worland Physical TherapyGroup PAC ID 6901022441, 3 clinicians

Practice addresses (Care Compare)

120 S 17TH St
Worland, WY 82401-3637
Phone (307) 347-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-007666AZMDOccupational Therapist
OC015085PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Worland Physical Therapy Occupational Therapist CurrentSince Aug 31, 2020 Accepting new patients
Holistic Pain Management of Wyoming, LLC Past Accepting new patients

Locations

120 S 17th St
Worland, WY 82401
Phone (307) 347-4001

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1649744103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CHURCHILL CT",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160664211",
            "telephone_number": "814-312-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CANYON HILLS RD",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824433137",
            "telephone_number": "814-312-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "ANDREW",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007666",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015085",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermopolis, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.