Organization Active NPI

Moving Up Pediatric Therapy LLC

  • Occupational Therapist
  • Sheridan, WY
National Provider Identifier
1730531005
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR 586 Issued in WY
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Jennifer W McPhie, OTR/LNPI 1861709149
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidWY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.