MICHELLE L MAZUR OT
NPI 1114061611
Occupational Therapist - Hand in Lander, WY

Q: What is Michelle Mazur's NPI number?

The NPI number for Michelle Mazur is 1114061611. It was assigned to this individual provider in the NPPES registry on February 16, 2007. The provider is also known as Michelle Lynne Wagner.

Q: What is Michelle Mazur's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Mazur was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2007Accepts Medicare Assignment

545 E MAIN ST STE B, LANDER, WY 82520(307) 335-3471(307) 332-5388 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Dec 5, 2022, Nov 3, 2022 (3 updates tracked since 2022).

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About Michelle L Mazur Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE L MAZUR OT (NPI 1114061611) is an individual hand provider in Lander, Wyoming, licensed in Wyoming (OT814) and active in the NPI registry since February 2007. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1114061611

Entity TypeIndividualFemale

Primary Taxonomy225XH1200X

Provider Legal NameMICHELLE L MAZURCredential: OT

Location Address545 E MAIN ST STE BLander, WY 82520-3470

Mailing AddressPo Box 625Lander, WY 82520-0625 · (307) 335-3471 · Fax (307) 332-5388

Phone(307) 335-3471

Fax(307) 332-5388

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 16, 2007

Last NPPES UpdateApril 7, 20253 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1114061611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XH1200X

License✔ Licensed in WY · OT814

Also ListedOccupational Therapist · Physical RehabilitationTaxonomy 225XP0019X · License OT-814 (WY)

545 E MAIN ST STE B, Lander, WY 82520

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Other Names 1

Former Name (1)Michelle Lynne Wagner

Other Identifiers 4

Other5245MAWA · Regence Blue Shield

Other0218062WA · Dept. Of Labor & Industry

Other8950731WA · L&i Crime

Other8950731WA · Dshs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L Mazur Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315976081

PECOS Enrollment IDI20090904000168

Medicare Billing Reassignment

Medicare enrollment records show Michelle Mazur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elevate Rehab, LLC

Same address

Physical Medicine & Rehabilitation

545 E MAIN ST STE B
Lander, WY 82520

Reassigned Medicare billing, Wyoming enrollment
9 clinicians in this Medicare group

NPI 1003257601 (307) 335-3471

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

1,210 services90 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

1,165 services75 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

738 services89 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

559 services59 patients

Application of ultrasound, each 15 minutes 97035

Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.

286 services61 patients

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

116 services23 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEVATE REHAB, LLC

Physical Medicine & Rehabilitation