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

Mariah Igo

Individual provider Occupational Therapist · NPI 1821597493

Mariah Igo is an Occupational Therapist in Private Practice in Gillette, Wyoming. Qualified in 2022, 4 years ago. Practices with 212 Degrees LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2018
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Practice location Address checks out

1103 E Boxelder Rd
Gillette, WY 82718-5582
Phone: (307) 686-8177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-1925 (WY)

Record details

NPI number1821597493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2018
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address1103 E Boxelder Rd Ste U, Gillette, WY 82718-5582

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice 212 Degrees Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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