NPIMap

Organization Active NPI

Associates in Therapy for Infants and Children LLC

  • Occupational Therapist
  • Cheyenne, WY
National Provider Identifier
1750596649
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ASSOCIATES IN THERAPY FOR INFANTS AND CHILDREN LLC
Practice address
3718 Pioneer Ave
Cheyenne, WY 82001-1246
Phone
(970) 420-2839
Fax
(970) 226-8520
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Mary Jo Krahn, PHD, OTR/LNPI 1427181635
Title
Owner/Manager
Phone
(970) 420-2839

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3718 Pioneer Ave
Cheyenne, WY 82001-1246

Mailing address

PO Box 20909
Cheyenne
Wy, WY 82003-7019
Phone (970) 420-2839

Other identifiers 1

IdentifierTypeStateIssuer
115591100MedicaidWY

National Provider Directory

National Provider Directory

Locations

1215 E Fox Farm Rd
Unit B
Cheyenne, WY 82007
Phone (307) 635-2900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1750596649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20909",
            "address_2": "CHEYENNE",
            "city": "WY",
            "state": "WY",
            "postal_code": "820037019",
            "telephone_number": "970-420-2839",
            "fax_number": "970-226-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011246",
            "telephone_number": "970-420-2839",
            "fax_number": "970-226-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN THERAPY FOR INFANTS AND CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "KRAHN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "970-420-2839",
        "authorized_official_credential": "PHD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115591100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.