Individual provider Active NPI

Abby Lynn Holwegner, OTRL

  • Occupational Therapist
  • Casper, WY
National Provider Identifier
1720216294
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-808 Issued in WY
Practice address
4070 Plaza Dr Ste 107
Casper, WY 82604-4296
Phone
(307) 265-7205
Fax
(307) 235-6262
NPI assigned
Jun 23, 2009
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 OT-808 WY Primary

Addresses

Primary practice location

4070 Plaza Dr Ste 107
Casper, WY 82604-4296

Mailing address

4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265
Phone (307) 265-7205

Other names 1

  • Abby Lynn Heaton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000350 WY Practitioner - Occupational Therapist in Private Practice 2062558539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Orthopaedic Associates PCGroup PAC ID 9436148624, shared by 4 NPIs, 30 clinicians

Practice addresses (Care Compare)

4140 Centennial Hills Blvd
Suite B
Casper, WY 82609-3265
Phone (307) 472-8891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-808WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC CurrentSince Sep 9, 2013 Accepting new patients
Casper Orthopaedic Associates PC CurrentSince Oct 1, 2018 Accepting new patients
Casper Orthopaedic Associates PC Occupational Therapist CurrentSince Sep 9, 2013 Accepting new patients

Locations

4070 Plaza Dr
Ste 107
Casper, WY 82604
Phone (307) 337-3204

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

4140 Centennial Hills Blvd
Ste B
Casper, WY 82609
Phone (307) 472-8871

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1720216294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 PLAZA DR STE 107",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044296",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLWEGNER",
        "first_name": "ABBY",
        "middle_name": "LYNN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "HEATON",
            "middle_name": "LYNN",
            "credential": "OTRL",
            "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 Nov 17, 2023; 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.