MRS. MARY ANN EDELL NORDVIK (NPI# 1679770754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770754 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN EDELL NORDVIK |
| Credential | OTR |
| Practice Address |
503 S 18th St Laramie WY 82070-4303 |
| Mailing Address |
5285 Browning Dr Cheyenne WY 82007-3553 |
| Practice Telephone | 3077423728 |
| Practice Fax Number | 3077212002 |
| Mailing Telephone | 3076353846 |
| Mailing Fax Number | 3076353846 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 641 | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
503 S 18TH ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923224 | Five Star Quality Care-wy LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2006-05-25 |
| 1962017533 | Catherine A Shafer | Occupational Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2020-09-10 |
| 1871106518 | Jesse Luke Mann | Physical Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2020-08-24 |
| 1912517640 | Tyler Allen Trumble | Physical Therapist | 503 S 18th St, Laramie, WY 82070-4303 | 2020-08-07 |
| 1891337465 | Laramie Nursing and Rehab Center, LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2019-10-15 |
| 1497306948 | Snh Wy Tenant LLC | Skilled Nursing Facility | 503 S 18th St, Laramie, WY 82070-4303 | 2019-09-26 |
| 1033656590 | Corri Sandoval | Speech-Language Pathologist | 503 S 18th St, Laramie, WY 82070-4303 | 2017-01-23 |
| 1881143915 | Barbara Burns | Physical Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2016-09-30 |
| 1164977849 | Kelly Ann Demshar | Occupational Therapist | 503 S 18th St, Laramie, WY 82070 | 2016-08-23 |
| 1295188696 | Brandi Tanner | Occupational Therapy Assistant | 503 S 18th St, Laramie, WY 82070 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558653824 | Katherine Marie Joseph | Occupational Therapist | 1114 E Flint St, Laramie, WY 82072-2837 | 2011-05-05 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1811177900 | Colleen Duggan Weber | Occupational Therapist | 2506 Sky View Ln, Laramie, WY 82070-5378 | 2007-11-06 |
| 1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
| 1336668946 | Samantha Bauer | Occupational Therapist | 1771 Centennial Dr, Laramie, WY 82070-8403 | 2017-09-14 |
| 1750815965 | Judith Renee Gray | Occupational Therapist | 1771 Centennial Dr, Laramie, WY 82070-8403 | 2017-04-13 |
| 1164977849 | Kelly Ann Demshar | Occupational Therapist | 503 S 18th St, Laramie, WY 82070 | 2016-08-23 |
| 1184093981 | Debra Brenner | Occupational Therapist | 503 S 18th St, Laramie, WY 82070-4303 | 2015-09-22 |
| 1912151077 | Trena Primavera | Occupational Therapist | 503 S 18th St, Laramie, WY 82070-4303 | 2008-11-14 |
| 1902074818 | Mark R Johnson | Occupational Therapist | 503 S 18th St, Laramie, WY 82070-4303 | 2008-02-13 |
| Find all providers in LARAMIE | ||||
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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.