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

Mark Mincinski

Individual provider Occupational Therapist · NPI 1134575574

Mark Mincinski is an Occupational Therapist in Private Practice in Cheyenne, Wyoming. Qualified in 1994, 32 years ago. Practices with Caring Edge Op LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Colorado and Wyoming.

Years since qualifying
32
Licensed in
CO, WY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4606 N College Dr
Cheyenne, WY 82009-5456
Phone: (307) 414-8394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (WY)
Occupational Therapist Taxonomy 225X00000X · Licence 633 (CO)

Record details

NPI number1134575574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address19580 Scout Ln, Saint Onge, SD 57779-7913

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Caring Edge Op Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cheyenne