Active NPI
Ryan Rausch
- Occupational Therapist
- Cheyenne, WY
National Provider Identifier
1750797734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR-1024
- Practice address
- 2360 E Pershing Blvd
Cheyenne, WY 82001-5356 - Phone
- (307) 778-7550
- Fax
- (307) 778-7369
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR-1024 | WY | Primary |
Addresses
Primary practice location
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Mailing address
2360 E Pershing Blvd
Cheyenne, WY 82001-5356
Phone (307) 778-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR-1024 | WY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1750797734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 E PERSHING BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015356",
"telephone_number": "307-778-7550",
"fax_number": "307-778-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 E PERSHING BLVD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015356",
"telephone_number": "307-778-7550",
"fax_number": "307-778-7369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUSCH",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OTR-1024",
"primary": true
}
],
"identifiers": [],
"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 Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.