WYOMING PHYSIATRY INC (NPI# 1942470737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942470737 |
| Entity Type | Organization |
| Organization Name | WYOMING PHYSIATRY INC |
| Practice Address |
5715 E 2nd St Casper WY 82609-4322 |
| Mailing Address |
Po Box 128 Bellaire TX 77402-0128 |
| Practice Telephone | 3072687731 |
| Mailing Telephone | 2818333330 |
| Mailing Fax Number | 2818333323 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-11-24 |
| Authorized Official Name | DR. RYAN THOMAS SWAN (M.D.) |
| Authorized Official Telephone | 3072657731 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 6809A | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | GROUP MEDICAID | 126432000 | 01 |
| WY | 118696500 | 05 | |
| WY | GROUP MEDICARE | W21781 | 01 |
| Street Address |
5715 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518905595 | Michele R Mohr | Family Medicine | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-06-03 |
| 1730713181 | Joseph Julio Correa-volkman | Physical Therapist | 5715 E 2nd St, Casper, WY 82609-4322 | 2020-02-25 |
| 1114407053 | Kate Whitaker | Nurse Practitioner | 5715 E 2nd St, Casper, WY 82609-4322 | 2018-08-20 |
| 1376994012 | Mohr Healthcare Solutions LLC | Hospitalist | 5715 E 2nd St, Casper, WY 82609-4322 | 2016-06-23 |
| 1245559012 | Placebo Ventures, LLC | Family Medicine | 5715 E 2nd St, Casper, WY 82609-4322 | 2010-05-19 |
| 1609020254 | Grand Teton Healing Center Inc | Clinic/Center | 5715 E 2nd St, Casper, WY 82609-4322 | 2008-11-10 |
| 1326233586 | Elkhorn Valley Rehabilitation Hospital LLC | Rehabilitation Hospital | 5715 E 2nd St, Casper, WY 82609-4322 | 2007-09-11 |
| 1841356284 | Jean Vernice Ennis | Occupational Therapist | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-12-29 |
| 1154357267 | Ryan Thomas Swan | Physical Medicine & Rehabilitation | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577333 | Suzette Jewel | Rehabilitation Practitioner | 607 Nevada Ave, Lovell, WY 82431-1934 | 2016-02-02 |
| 1336316298 | Hallie Beth Bell | Rehabilitation Practitioner | 202 Highland Ave, Newcastle, WY 82701-3032 | 2008-05-09 |
| 1295976322 | Wyoming Neuromonitoring, LLC | Rehabilitation Practitioner | 1950 Bluegrass Cir, Suite170, Cheyenne, WY 82009-7323 | 2009-03-19 |
| 1861681496 | Shawn Ragon | Rehabilitation Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2007-10-19 |
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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.