WYOMING PHYSICAL THERAPY PC (NPI# 1467515882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467515882 |
| Entity Type | Organization |
| Organization Name | WYOMING PHYSICAL THERAPY PC |
| Other Organization Name | FYZICAL THERAPY AND BALANCE CENTERS |
| Practice Address |
1217 S Greeley Hwy Suite A Cheyenne WY 82007-3034 |
| Practice Telephone | 3077720955 |
| Practice Fax Number | 3077720953 |
| Mailing Telephone | 3077720955 |
| Mailing Fax Number | 3077720953 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MR. DOUGLAS K WILSON (PRESIDENT) |
| Authorized Official Telephone | 3077720955 |
| Authorized Official Credential | MS, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 114492800 | 05 |
| Other Name | Type Code |
|---|---|
| FYZICAL Therapy and Balance Centers | Doing Business As Name - Organization |
| Wyoming Physical Therapy and Fitness | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Boardwalk Dr Unit A, Fort Collins, CO 805253153 | 9702238293 | 9702238219 |
| 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 |
| 1093367468 | Wyoming Physical Therapy PC | Specialist | 140 Boardwalk Dr Unit A, Fort Collins, CO 80525-3153 | 2019-07-15 |
| Street Address |
1217 S GREELEY HWY SUITE A |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053495457 | Wile Eyes Inc | Optometrist | 1217 S Greeley Hwy, Suite B, Cheyenne, WY 82007-3034 | 2006-10-24 |
| 1407162027 | Aileen Sherrin Hanson | Physical Therapist | 1217 S Greeley Hwy, Suite A, Cheyenne, WY 82007-3064 | 2010-08-19 |
| 1992825525 | Nancy B Rangel | Physical Therapist | 1217 S Greeley Hwy, Suite A, Cheyenne, WY 82007-3034 | 2007-03-29 |
| 1174607550 | Rhonda Joan Stevens | Optometrist | 1217 S Greeley Hwy, Suite B, Cheyenne, WY 82007-3034 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| 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 |
|---|---|---|---|---|
| 1689226524 | Wyoming Physical Therapy PC | Specialist | 1620 E Pershing Blvd, Cheyenne, WY 82001-3238 | 2019-07-11 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1346632486 | Ashley Carrick | Specialist | 3809 Cheyenne St, Cheyenne, WY 82001 | 2015-02-26 |
| 1316178304 | Lorri C. Jordan | Specialist | 3600 Carey Ave, Cheyenne, WY 82001-1228 | 2009-08-07 |
| 1417082389 | Wyoming Neurology PC | Specialist | 2301 House Ave Ste 203, Cheyenne, WY 82001-3177 | 2007-02-22 |
| 1427153063 | Joan Stout | Specialist | 6923 Evers Blvd, Cheyenne, WY 82009-2524 | 2006-09-14 |
| 1902802663 | Meade O Davis IIi | Specialist | 433 E 19th St, Cheyenne, WY 82001-4643 | 2005-06-27 |
| 1750822730 | Megan Edelson | Specialist | 4025 Rawlins St, Cheyenne, WY 82001-1900 | 2017-03-10 |
| 1902247315 | Children's Therapy Group, LLC | Specialist | 3718 Pioneer Ave, Cheyenne, WY 82001-1246 | 2013-07-13 |
| 1750635587 | Daniel Wanyonyi Makokha | Specialist | 4025 Rawlins St, Cheyenne, WY 82001-1900 | 2012-10-31 |
| Find all providers in CHEYENNE | ||||
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| 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.