Individual provider Active NPI

Korry Wheeler, PT, DPT, ECS

  • Physical Therapist
  • Afton, WY
National Provider Identifier
1013307768
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
901 Adams St
Afton, WY 83110-9621
Phone
(307) 883-7878
NPI assigned
Feb 3, 2015
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapist 225100000X 008998 KY
Clinical Electrophysiology Physical Therapist 2251E1300X 008998 KY
Clinical Electrophysiology Physical Therapist 2251E1300X 1564 WY

Addresses

Primary practice location

901 Adams St
Afton, WY 83110-9621

Mailing address

901 Adams St
Afton, WY 83110-9621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150408000006 WY Practitioner - Physical Therapist in Private Practice 3577881317 Reassigns benefits to 1 organization
I20240325003831 KY Practitioner - Physical Therapist in Private Practice 3577881317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970

11 Lincoln St
Diamondville, WY 83116-9999
Phone (307) 800-8011

110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5852

120 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5870

12000 Aiken Rd
Louisville, KY 40243-2413
Phone (502) 489-5002

195 Feather Way
Evanston, WY 82930-9352
Phone (307) 789-0096

901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5800

904 Adams St
Afton, WY 83110-9621
Phone (307) 885-4873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008998KYMDPhysical Therapist
1564WYMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Feb 12, 2024 Accepting new patients
Cold Country Medical LLC Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Feb 15, 2024 Accepting new patients
Kentucky Orthopedic Rehabilitation LLC CurrentSince Feb 12, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Feb 15, 2024 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
North Lincoln County Hospital District PastSince Oct 30, 2024 Accepting new patients
Davidson Chiropractic Clinic, Inc. PastSince Nov 1, 2001 Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

3415 New Hartford Rd
Unit 2
Owensboro, KY 42303
Phone (270) 684-7856

431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1013307768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS ST",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831109621",
            "telephone_number": "307-883-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KORRY",
        "credential": "PT, DPT, ECS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008998",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "KY",
            "license": "008998",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "WY",
            "license": "1564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.