MR. FLOYD DALE WILMES OTRL NPI 1346302023

NPI Information

NPI: 1346302023
Provider Name: MR. FLOYD DALE WILMES, OTRL
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Individual
Address:
1625 CHAMBERLAIN RD
CASPER, WY
ZIP 82604
Phone: (307) 234-8049
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MR. Floyd Dale Wilmes, OTRL is a day training developmentally disabled services in Casper, WY. The provider is 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. MR. Floyd Dale Wilmes, OTRL NPI is 1346302023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1625 CHAMBERLAIN RD
CASPER, WY
ZIP 82604-737
Phone: (307) 234-8049

The enumeration date for this NPI number is 12/15/2006 and was last updated on 11/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225X00000X	Occupational Therapist		OTR-130	WYOMING	No
2	251C00000X	Day Training, Developmentally Disabled Services		OTR-130	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112990200	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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