MR. FLOYD DALE WILMES II (NPI# 1346302023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346302023 |
| Entity Type | Individual |
| Full Name | MR. FLOYD DALE WILMES II |
| Credential | OTRL |
| Practice Address |
1625 Chamberlain Rd Casper WY 82604-2737 |
| Practice Telephone | 3072348049 |
| Mailing Telephone | 3072348049 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OTR-130 | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | OTR-130 | WY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 112990200 | 05 |
| Street Address |
1625 CHAMBERLAIN RD |
| City | CASPER |
| State | WY |
| Zip Code | 82604-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224305 | Care Partners of Wyoming | Day Training, Developmentally Disabled Services | 142 N Melrose St, Casper, WY 82601-2735 | 2019-09-14 |
| 1316488653 | Julie Elvestad | Day Training, Developmentally Disabled Services | 4070 Plaza Dr Ste 106, Casper, WY 82604-4296 | 2017-03-20 |
| 1003220096 | Brain Injury Alliance of Wyoming | Day Training, Developmentally Disabled Services | 111 W 2nd St Ste 106, Casper, WY 82601-2458 | 2014-06-17 |
| 1558641019 | Lois Lavaughn Bowman | Day Training, Developmentally Disabled Services | 1524 Sheridan Dr, Casper, WY 82604-3106 | 2011-08-27 |
| 1639474158 | Jennie R Demarce | Day Training, Developmentally Disabled Services | 123 Colorado Ave, Casper, WY 82609-1703 | 2011-01-13 |
| 1558663773 | Scott Honken | Day Training, Developmentally Disabled Services | 4900 Yesness Ct, Casper, WY 82604-5206 | 2010-11-19 |
| 1598081960 | Kimberly Rose Glynn | Day Training, Developmentally Disabled Services | 11750 W Zero Rd, Casper, WY 82604-9540 | 2010-04-10 |
| 1669706412 | Jennifer Leigh Ryerson-heaton | Day Training, Developmentally Disabled Services | 3415 Monte Vista Dr., Casper, WY 82601 | 2009-09-28 |
| 1952634727 | Family of God Church | Day Training, Developmentally Disabled Services | 4300 S Poplar St, Casper, WY 82601-6107 | 2009-09-11 |
| 1952531279 | Rick Jude Lamotte | Day Training, Developmentally Disabled Services | 1820 Mariposa Blvd, Casper, WY 82604-4829 | 2009-07-21 |
| Find all providers in CASPER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.