MICHELLE L MAZUR (OT) – Hand Occupational Therapist, NPI 1114061611

MICHELLE L MAZUR (OT) is a healthcare provider. based in Lander, Wyoming. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT-814 (WY). The NPI Number for MICHELLE L MAZUR (OT) is 1114061611

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE L MAZUR (OT)
NPI
1114061611
Phone
(307) 335-3471
Address
388 MAIN ST STE A
Enumeration Date
16 February 2007
Last Update Date
7 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073353471
Graduation Year
1995 (31 years ago)
PAC ID
7315976081
Group Practice PAC ID
4981838687
Professional Enrollment ID
I20090904000168
Address ID
WY825203470LA545XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

99 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for MICHELLE L MAZUR (OT)

  • 388 MAIN ST STE A

    LANDER, WY 825203104

    Phone: (307) 335-3471

    Fax: (307) 332-5388

    Type: Location

  • PO BOX 625

    LANDER, WY 825200625

    Phone: (307) 335-3471

    Fax: (307) 332-5388

    Type: Mailing

  • 545 E MAIN ST STE B

    LANDER, WY 825203470

    Phone: (307) 335-3471

    Fax: (307) 332-5388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090904000168IOccupational Therapist In Private PracticeWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,46693$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,17385$0
97140Therapy procedure using manual technique, each 15 minutes93999$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36629$0
97035Application of ultrasound, each 15 minutes26253$0
View full utilization report →

Insurance plans in this area (ZIP 82520)

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Provider's Procedures

MICHELLE L MAZUR (OT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYWY97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes65454

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981838687View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

What NPI should I save for MICHELLE L MAZUR (OT)?
Save NPI 1114061611 if you need a stable reference for MICHELLE L MAZUR (OT).
Is MICHELLE L MAZUR (OT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHELLE L MAZUR (OT) list a primary specialty?
If you are matching referrals, note Hand Occupational Therapist for MICHELLE L MAZUR (OT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHELLE L MAZUR (OT)?
The page summarizes Lander, Wyoming for MICHELLE L MAZUR (OT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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