NPIMap

Organization Active NPI

North Platte Physical Therapy Services Inc

  • Physical Therapist
  • Sundance, WY
National Provider Identifier
1023061223
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTH PLATTE PHYSICAL THERAPY SERVICES INC
Practice address
226 Highway 585
Sundance, WY 82729-5203
Phone
(307) 283-3516
NPI assigned
May 18, 2006
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Lisa Mangus
Title
Ceo
Phone
(307) 358-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

226 Highway 585
Sundance, WY 82729-5203

Mailing address

PO Box 1790
Douglas, WY 82633-1790
Phone (307) 358-9464

Other practice location 1

717 Pine Street
Upton, WY 82730
Phone (307) 468-2000

Other practice location 2

Town Center 101 S Belle Fourche
Moorcroft, WY 82721
Phone (307) 756-9635

Other identifiers 1

IdentifierTypeStateIssuer
106962400MedicaidWY

National Provider Directory

National Provider Directory
Tax ID family
N Platte Physical Therapy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1023061223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1790",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826331790",
            "telephone_number": "307-358-9464",
            "fax_number": "307-358-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HIGHWAY 585",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827295203",
            "telephone_number": "307-283-3516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Pine Street",
            "address_purpose": "LOCATION",
            "city": "Upton",
            "state": "WY",
            "postal_code": "82730",
            "country_code": "US",
            "telephone_number": "307-468-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Town Center 101 S Belle Fourche",
            "address_purpose": "LOCATION",
            "city": "Moorcroft",
            "state": "WY",
            "postal_code": "82721",
            "country_code": "US",
            "telephone_number": "307-756-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH PLATTE PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "MANGUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-358-9464"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106962400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sundance, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.