Heather Ann Grigg, MOTR/L

Individual provider Active NPI Occupational Therapist · Casper, WY

NPI 1841447232 · NPPES record last updated Dec 7, 2010

Key facts

NPI
1841447232
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR 758 (WY)
Practice address
6631 E 2ND St
Casper, WY 82609-4355
Phone
(307) 268-9904
Fax
(307) 268-9907
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
758WYMDClinical Social Worker
OTR 758WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
5150 Case Management Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR 758 WY Yes

Addresses

Primary practice location

6631 E 2ND St
Casper, WY 82609-4355

Mailing address

6631 E 2ND St
Casper, WY 82609-4355
Phone (307) 268-9904

Other names

  • Heather Ann Hanson Former name

Other providers in Casper, WY

All providers in Casper, WY · Occupational Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.