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

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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