Active NPI
Moving Up Pediatric Therapy LLC
- Occupational Therapist
- Sheridan, WY
National Provider Identifier
1730531005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR 586
- Legal business name
- MOVING UP PEDIATRIC THERAPY LLC
- Practice address
- 625 E 5TH St
Suite 104
Sheridan, WY 82801-3171 - Phone
- (307) 672-5631
- NPI assigned
- Jul 11, 2016
- Last updated
- Jul 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer W McPhie, OTR/L
- Title
- Director/Owner
- Phone
- (307) 672-5631
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR 586 | WY | Primary |
Addresses
Primary practice location
625 E 5TH St
Suite 104
Sheridan, WY 82801-3171
Mailing address
625 E 5TH St
Suite 104
Sheridan, WY 82801-3171
Phone (307) 672-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
625 E 5th St
Ste 104
Sheridan, WY 82801
Phone (307) 672-5631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Sheridan, WY
- NPI 1861709149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468195200000",
"number": "1730531005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E 5TH ST",
"address_2": "SUITE 104",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828013171",
"telephone_number": "307-672-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E 5TH ST",
"address_2": "SUITE 104",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828013171",
"telephone_number": "307-672-5631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVING UP PEDIATRIC THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A",
"authorized_official_last_name": "MCPHIE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "307-672-5631",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR 586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.