Individual provider Active NPI

Dawn Michelle Cardinal, MOTR/L

  • Physical Rehabilitation Occupational Therapist
  • Douglas, WY
National Provider Identifier
1841541018
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OTR-681 Issued in WY
Practice address
102 Brownfield Rd
Douglas, WY 82633-2555
Phone
(307) 298-5758
Fax
(307) 670-9193
NPI assigned
Sep 27, 2012
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X OTR-681 WY Primary

Addresses

Primary practice location

102 Brownfield Rd
Douglas, WY 82633-2555

Mailing address

1211 S Douglas Hwy Ste 100
Gillette, WY 82716-4982
Phone (307) 670-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417003592 WY Practitioner - Occupational Therapist in Private Practice 5991144354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Brownfield Rd
Douglas, WY 82633-2555
Phone (307) 298-5758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR-681WYMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy of Wyoming LLC CurrentSince Mar 10, 2024 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership CurrentSince Dec 1, 2024 Accepting new patients
Hand Therapy of Wyoming LLC CurrentSince Mar 10, 2024 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership CurrentSince Dec 1, 2024 Accepting new patients
Rocky Mountain Therapy LLC Past Accepting new patients

Locations

102 Brownfield Rd
Douglas, WY 82633
Phone (307) 298-5758

1211 S Douglas Hwy
Ste 100
Gillette, WY 82716
Phone (307) 228-1005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1841541018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164982",
            "telephone_number": "307-670-9191",
            "fax_number": "307-670-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROWNFIELD RD",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332555",
            "telephone_number": "307-298-5758",
            "fax_number": "307-670-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WY",
            "license": "OTR-681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.