Individual provider Active NPI

Penelope J Hanson, OTR

  • Occupational Therapist
  • Riverton, WY
National Provider Identifier
1801815337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR - 307 Issued in WY
Practice address
911 Flag Dr
Riverton, WY 82501-2312
Phone
(307) 857-7074
Fax
(307) 857-1072
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 - 307 WY Primary

Addresses

Primary practice location

911 Flag Dr
Riverton, WY 82501-2312

Mailing address

PO Box 2020
Riverton, WY 82501-0274
Phone (307) 857-7074

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

LicenseStateTypeSpecialty
OTR - 307WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinks Canyon Therapies Inc Occupational Therapist CurrentSince Jul 1, 2013 Accepting new patients
Sinks Canyon Therapies Inc Occupational Therapist Past Accepting new patients
Osback Pharmaceuticals Inc Past Accepting new patients
Top Therapy, PC Occupational Therapist PastSince Jan 17, 2021 Accepting new patients
Teton Therapy, P.C. Occupational Therapist PastSince May 1, 2002 Accepting new patients

Locations

307 Main St
Lander, WY 82520
Phone (307) 332-2715

634 Main St
Lander, WY 82520
Phone (307) 332-2715

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801815337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010274",
            "telephone_number": "307-857-7074",
            "fax_number": "307-857-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 FLAG DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012312",
            "telephone_number": "307-857-7074",
            "fax_number": "307-857-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "PENELOPE",
        "middle_name": "J",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR - 307",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.