Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krysten Gayle Sommerville, OTR

Individual provider Occupational Therapist · NPI 1912681040

Krysten Gayle Sommerville, OTR is an Occupational Therapist in Private Practice in Jackson, Wyoming. Qualified in 2023, 3 years ago. Practices with North Lincoln County Hospital District, a 67-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

120 W Pearl Ave
Jackson, WY 83001-8657
Phone: (307) 734-9129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1912681040
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Lincoln County Hospital District — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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