Active NPI
Jilda Senatore
- Occupational Therapist
- Pinedale, WY
National Provider Identifier
1720148174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 162
- Practice address
- 191 South Franklin
Pinedale, WY 82941 - Phone
- (307) 367-6306
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 162 | WY | Primary |
Addresses
Primary practice location
191 South Franklin
Pinedale, WY 82941
Mailing address
PO Box 45
Pinedale, WY 82941-0045
Phone (307) 367-6306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314005 | Other | WY | BLUE CROSS BLUE SHIELD WY |
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 |
|---|---|---|---|
| 162 | WY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720148174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45",
"city": "PINEDALE",
"state": "WY",
"postal_code": "829410045",
"telephone_number": "307-367-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 SOUTH FRANKLIN",
"city": "PINEDALE",
"state": "WY",
"postal_code": "82941",
"telephone_number": "307-367-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENATORE",
"first_name": "JILDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD WY",
"identifier": "314005",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinedale, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.