Amanda Renee McCorry, COTA/L
Occupational Therapy Assistant in Cheyenne, WY. Individual provider (NPI-1).
NPI number1255102471
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1255102471
- Entity type
- Individual (NPI-1)
- Name
- Amanda Renee McCorry
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2024
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 1145 | WY | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 1145 | WY |
Practice location
2360 E Pershing BlvdCheyenne, WY 82001-5356
Phone 307-778-7550
Mailing address
2360 E Pershing BlvdCheyenne, WY 82001-5356
Phone 307-778-7550
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Cheyenne, WY
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All 13 Occupational Therapy Assistant providers in Cheyenne · All 3,729 providers in Cheyenne
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