CHRISTAN MICHELLE KOSTELECKY


Address: 4606 N College Dr, Cheyenne, WY 82009-5456
Phone: 3074148394

CHRISTAN MICHELLE KOSTELECKY (NPI# 1629208376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629208376
Entity Type Individual
Full Name CHRISTAN MICHELLE KOSTELECKY
Other Name CHRISSY KOSTELECKY
Practice Address 4606 N College Dr
Cheyenne
WY 82009-5456
Mailing Address 815 S Bridge Way Pl
Ste 122
Eagle
ID 83616-6022
Practice Telephone 3074148394
Practice Fax Number 3073168125
Mailing Telephone 2089720918
Enumeration Date 2009-07-15
Last Update Date 2018-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT-833 WY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4010 N College Dr, Cheyenne, WY 820011960 3074148394 3073168125

Office Location

Street Address 4606 N COLLEGE DR
City CHEYENNE
State WY
Zip Code 82009-5456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225662000 Rebecca Murchie Occupational Therapist 4606 N College Dr, Cheyenne, WY 82009-5456 2020-03-02
1871061689 Erika Osmann Occupational Therapist 4606 N College Dr, Cheyenne, WY 82009-5456 2018-11-09
1992270391 Caringedge Hospice of Wyoming LLC Hospice Care, Community Based 4606 N College Dr, Cheyenne, WY 82009-5456 2018-10-11
1801361209 Caringedge Healthcare of Wyoming LLC Home Health 4606 N College Dr, Cheyenne, WY 82009-5456 2018-10-11
1043718596 Kaitlin Brew Occupational Therapist 4606 N College Dr, Cheyenne, WY 82009-5456 2018-01-30
1235461146 Lsref Golden Ops 14 (wy) LLC Assisted Living Facility 4606 N College Dr, Cheyenne, WY 82009-5456 2010-02-02
1972834042 Emg Cheyenne Sh LLC Assisted Living Facility 4606 N College Dr, Cheyenne, WY 82009-5456 2010-01-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659840841 King & Associates LLC Private Vehicle 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 2018-11-16
1710495700 Wyoming Endoscopy Center LLC Clinic/Center 7220 Comons Circle, Cheyenne, WY 82009 2018-01-12
1912442682 Lindsey Thurmes Mccoy Dietitian, Registered 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 2017-01-04
1306380696 Alexandra Gill Social Worker 3304 East 1-80 Service Rd., Cheyenne, WY 82009 2016-12-06
1104213859 Jennifer Schwartz Specialist 2601 Plain View Rd, Cheyenne, WY 82009 2015-04-21
1861830465 Tyler Boyd Dentist 7209 Commons Cir Unit A, Cheyenne, WY 82009 2013-06-05
1639513351 Gene E Darnell Pharmacist 3702 Del Range Blvd, Cheyenne, WY 82009 2013-04-24
1376891952 Robert R Kanard Internal Medicine 714 Edward Dr, Cheyenne, WY 82009 2012-08-29
1639443336 Jennifer Alam Case Manager/Care Coordinator 3304 E. I80 Service Rd, Cheyenne, WY 82009 2012-02-28
1376815357 Christina Kay Brown Licensed Practical Nurse 3304 E I80 Service Rd, Cheyenne, WY 82009 2012-02-06
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508417726 Kathy L Bolding Occupational Therapist 901 S Greeley Hwy, Cheyenne, WY 82007-3019 2019-09-28
1487180790 Jaclyn Vooge Occupational Therapist 1507 Stillwater Ave Ste A, Cheyenne, WY 82009-7358 2017-05-05
1912448044 Anna Foster Occupational Therapist 137 Hobbs Ave, Cheyenne, WY 82009-4722 2017-03-08
1679857460 Monarch Rehab Therapy, LLC Occupational Therapist 3553 Ridge Rd, Cheyenne, WY 82001-1694 2011-09-28
1770880965 Laurie Hanson Occupational Therapist 1234 Vermont Rd, Cheyenne, WY 82009-9017 2011-02-24
1033410873 Jackie Renee Thatcher Occupational Therapist 4735 Maple Way, Cheyenne, WY 82009-5228 2010-11-10
1750510590 Sarah A. Hoerauf Occupational Therapist 1330 Prairie, Cheyenne, WY 82009 2009-07-14
1992965115 Anne Bird Occupational Therapist 5514 Townsend Pl Apt B, Cheyenne, WY 82009-3729 2008-06-11
1174780522 Sarah Christine Nicholas Occupational Therapist 3920 Reed Ave, Cheyenne, WY 82001-1160 2008-05-21
1932392339 Erica Danielle Georges Occupational Therapist 2008 Apache St, Cheyenne, WY 82009-4934 2007-08-20
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City CHEYENNE
Zip Code 82009

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Dataset Information

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.

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