Jessica Kotschwar

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1509 Issued in WY

Practice address

1977 Dewar Dr Ste J
Rock Springs, WY 82901-5757

Phone

(307) 875-1788

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Physical Therapy, LLCGroup PAC ID 6901906452, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance Physical Therapy, LLC

  • Physical Therapist
  • Rock Springs, WY
  • NPI 1700081239

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1740773142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 DEWAR DR STE J",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015757",
            "telephone_number": "307-875-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 DEWAR DR STE J",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015757",
            "telephone_number": "307-875-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Wilkes Dr Ste 17",
            "address_purpose": "LOCATION",
            "city": "Green River",
            "state": "WY",
            "postal_code": "829354854",
            "country_code": "US",
            "telephone_number": "307-875-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTSCHWAR",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyrstin King
• Jesse T Kirkham, DP
• Christopher Klockman
• Deborah Klug
• Hazel Koenig
• Ludwig F Kroner III, MD
• Kaila Krotzer, RBT
• Katie Elizabeth Kunkle I
• Mary Lair
• Du Lam

• Occupational Therapist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.