Individual provider Active NPI

Jennifer Walker McPhie, OTR/L

  • Occupational Therapist
  • Sheridan, WY
National Provider Identifier
1861709149
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-586 Issued in WY
Practice address
625 E 5TH St
Suite 104
Sheridan, WY 82801-3171
Phone
(307) 672-5631
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR-586 WY Primary
Pediatric Occupational Therapist 225XP0200X OTR-586 WY

Addresses

Primary practice location

625 E 5TH St
Suite 104
Sheridan, WY 82801-3171

Mailing address

PO Box 1086
62 Kelly Lane
Dayton, WY 82836-1086
Phone (307) 461-1526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129001459 WY Practitioner - Occupational Therapist in Private Practice 2466701818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR-586WYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinks Canyon Therapies Inc Occupational Therapist CurrentSince Jul 1, 2018 Accepting new patients
Intermountain Deaconess Home for Children Past Accepting new patients
Intermountain Deaconess Home Past Accepting new patients
Intermountain SBS Past Accepting new patients
Moving Up Pediatric Therapy LLC Occupational Therapist Past Accepting new patients
Osback Pharmaceuticals Inc Past Accepting new patients
Sinks Canyon Therapies Inc Occupational Therapist Past Accepting new patients

Locations

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

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

Organizations & group practices 7

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1861709149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "address_2": "62 KELLY LANE",
            "city": "DAYTON",
            "state": "WY",
            "postal_code": "828361086",
            "telephone_number": "307-461-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 5TH ST",
            "address_2": "SUITE 104",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013171",
            "telephone_number": "307-672-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHIE",
        "first_name": "JENNIFER",
        "middle_name": "WALKER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-586",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WY",
            "license": "OTR-586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.