Active NPI
Kelsey Anne Hieb, MOTR/L
- Occupational Therapist
- Casper, WY
National Provider Identifier
1902380934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-1289
- Practice address
- 851 Werner CT Ste 100
Casper, WY 82601-1308 - Phone
- (307) 234-9360
- NPI assigned
- Sep 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-1289 | WY | Primary |
Addresses
Primary practice location
851 Werner CT Ste 100
Casper, WY 82601-1308
Mailing address
6661 Blue Springs Rd
Casper, WY 82604-3649
Phone (307) 299-0499
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1289 | WY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536969600000",
"number": "1902380934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6661 BLUE SPRINGS RD",
"city": "CASPER",
"state": "WY",
"postal_code": "826043649",
"telephone_number": "307-299-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 WERNER CT STE 100",
"city": "CASPER",
"state": "WY",
"postal_code": "826011308",
"telephone_number": "307-234-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIEB",
"first_name": "KELSEY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-15",
"last_updated": "2018-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "OT-1289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.