Mariah Igo
NPI 1821597493ActiveIndividual· Occupational Therapist· Gillette, WY
Occupational Therapist with 212 Degrees LLC, practicing in Gillette, Wyoming. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1821597493 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 8, 2018 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-1925 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (WY) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- 212 Degrees LLCGillette, WY · 15 clinicians
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