Dawn Michelle Cardinal, MOTR/L
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Douglas, WY
NPI 1841541018 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1841541018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- License
- OTR-681 (WY)
- Practice address
- 102 Brownfield Rd
Douglas, WY 82633-2555 - Phone
- (307) 298-5758
- Fax
- (307) 670-9193
- NPI assigned
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- 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
- Hand and Physical Therapy of Wyoming Limited Partnership
Practice addresses (Care Compare)
102 Brownfield Rd
Douglas, WY 82633-2555
Phone (307) 298-5758
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417003592 | WY | Practitioner - Occupational Therapist in Private Practice | 5991144354 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR-681 | WY | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy of Wyoming LLC | Current |
Accepting new patients | |
| Hand and Physical Therapy of Wyoming Limited Partnership | Current |
Accepting new patients | |
| Hand Therapy of Wyoming LLC | Current |
Accepting new patients | |
| Hand and Physical Therapy of Wyoming Limited Partnership | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OTR-681 | WY | Yes |
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
Other providers in Douglas, WY
- Jamie Alison Byerly
- Courtney Camino
- Mark Steven Campbell
- Susan Rae Cannon
- Craig S Capron
- Caring Connections, LLC
- Ceirra D Carlson
- Casper Orthopaedic Associates PC
- Tammy Ceaglske
- Ronald C Christensen
All providers in Douglas, WY · Physical Rehabilitation Occupational Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.