Individual provider Active NPI

Jeffrey L McMenamy, OTR

  • Occupational Therapist
  • Riverton, WY
National Provider Identifier
1740215227
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR - 301 Issued in WY
Practice address
820 W Main St
Riverton, WY 82501-3342
Phone
(307) 857-7074
Fax
(307) 856-6459
NPI assigned
Jul 12, 2006
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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 OTR - 301 WY Primary

Addresses

Primary practice location

820 W Main St
Riverton, WY 82501-3342

Mailing address

820 W Main St
Riverton, WY 82501-3342
Phone (307) 857-7074

Other identifiers 1

IdentifierTypeStateIssuer
121772100MedicaidWY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210001038 WY Practitioner - Occupational Therapist in Private Practice 1355329038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Therapy PCGroup PAC ID 3971586199, 9 clinicians
Top Therapy PCGroup PAC ID 7315256765, 5 clinicians

Practice addresses (Care Compare)

1406 W Main St
Riverton, WY 82501-3239
Phone (307) 857-7074

603 E Carlson St
Suite 304
Cheyenne, WY 82009-4443
Phone (307) 514-9999

Merit-based Incentive Payment System (MIPS)

Final score
69.6 of 100Reported as group
Quality
60.87
Improvement activities
40
Cost
50.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR - 301WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Therapy, P.C. Occupational Therapist CurrentSince May 1, 2002 Accepting new patients
Top Therapy, PC Occupational Therapist CurrentSince Aug 31, 2015 Accepting new patients

Locations

603 E Carlson St
Ste 304
Cheyenne, WY 82009
Phone (307) 514-9999

425 Lincoln St
Lander, WY 82520
Phone (307) 332-2230

425 Lincoln St
Ste 2
Lander, WY 82520
Phone (307) 332-2230

1406 W Main St
Riverton, WY 82501
Phone (307) 463-0462

820 W Main St
Riverton, WY 82501
Phone (307) 463-0462

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, 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1740215227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013342",
            "telephone_number": "307-857-7074",
            "fax_number": "307-856-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013342",
            "telephone_number": "307-857-7074",
            "fax_number": "307-856-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENAMY",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR - 301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121772100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.