WYOMING PHYSICAL THERAPY PC (NPI# 1093367468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093367468 |
| Entity Type | Organization |
| Organization Name | WYOMING PHYSICAL THERAPY PC |
| Other Organization Name | FYZICAL THERAPY AND BALANCE CENTERS |
| Practice Address |
140 Boardwalk Dr Unit A Fort Collins CO 80525-3153 |
| Mailing Address |
1217 S Greeley Hwy Ste A Cheyenne WY 82007-3063 |
| Practice Telephone | 9702238293 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | DOUGLAS K. WILSON (PRESIDENT) |
| Authorized Official Telephone | 3077720955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| FYZICAL Therapy and Balance Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185944 | Wyoming Physical Therapy PC | Specialist | 322 N Main St., Pine Bluffs, WY 82082 | 2019-07-12 |
| 1689226524 | Wyoming Physical Therapy PC | Specialist | 1620 E Pershing Blvd, Cheyenne, WY 82001-3238 | 2019-07-11 |
| 1467515882 | Wyoming Physical Therapy PC | Specialist | 1217 S Greeley Hwy, Suite A, Cheyenne, WY 82007-3034 | 2006-12-18 |
| Street Address |
140 BOARDWALK DR UNIT A |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871806760 | Mineca M Riggs | Physical Therapist | 140 Boardwalk Dr Unit A, Fort Collins, CO 80525-3153 | 2010-07-20 |
| 1639789647 | Amanda Nicole Beisner | Physical Therapist | 140 Boardwalk Dr Unit A, Fort Collins, CO 80525-3153 | 2020-08-04 |
| 1881168938 | Maggie Mcferrin | Physical Therapist | 140 Boardwalk Dr Unit A, Fort Collins, CO 80525-3153 | 2019-01-11 |
| 1083037097 | Kristen Balk | Physical Therapist | 140 Boardwalk Dr Unit A, Fort Collins, CO 80525-3153 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820331 | Colorado Brian Training, Inc | Specialist | 1100 Haxton Dr Unit 105, Fort Collins, CO 80525-6213 | 2020-01-10 |
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1013425941 | Jackie Cooper | Specialist | 3938 John F Kennedy Pkwy Unit 11c, Fort Collins, CO 80525-3087 | 2018-01-12 |
| 1083156715 | Nora K Carolan | Specialist | 120 Buckeye St, Fort Collins, CO 80524-4101 | 2016-11-11 |
| 1861843781 | Kristin Nicole Rhoades | Specialist | 2730 W Elizabeth St, Fort Collins, CO 80521-4004 | 2016-06-22 |
| 1245610757 | Karen Kay Balog | Specialist | 521 Stover St, Fort Collins, CO 80524-3122 | 2015-06-01 |
| 1205241684 | Joseph Culhane | Specialist | 344 E Mountain Ave, Fort Collins, CO 80524-2914 | 2014-06-24 |
| 1457764813 | Elizabeth Eli | Specialist | 1500 S Lemay Ave, Fort Collins, CO 80523 | 2014-06-03 |
| 1366791782 | Jill Willis | Specialist | 3938 John F, Kennedy Parkway, Fort Collins, CO 80525 | 2012-08-30 |
| 1811243363 | Specialty Staffing Solutions, LLC | Specialist | 1001a E Harmony Rd # 256, Fort Collins, CO 80525-3354 | 2012-08-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on WYOMING PHYSICAL THERAPY PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.