Kara Magid, OTR/L

Individual provider Active NPI Occupational Therapist · Basin, WY

NPI 1972123206 · NPPES record last updated Jun 8, 2022

Key facts

NPI
1972123206
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
22105 (FL)
Practice address
406 South 4TH Street
Basin, WY 82410
Phone
(307) 568-9399
Fax
(307) 568-9396
NPI assigned
Apr 16, 2020
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
1493WYMDProfessional Counselor
22105FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Pain Management of Wyoming, LLC Past
since Apr 16, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22105 FL Yes

Addresses

Primary practice location

406 South 4TH Street
Basin, WY 82410

Mailing address

401 E Sample Rd
Deerfield Beach, FL 33064-4441
Phone (954) 941-4100

Other providers in Basin, WY

All providers in Basin, WY · Occupational Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.