Active NPI
Cassidy R Drevlow, DPT
- Physical Therapist
- Gillette, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2196
- Practice address
- 1013 E Boxelder Rd Ste 100
Gillette, WY 82718-5936 - Phone
- (307) 682-4900
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2196 | WY | Primary |
Addresses
Primary practice location
1013 E Boxelder Rd Ste 100
Gillette, WY 82718-5936
Mailing address
2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 260-0010
Other names 1
- Cassidy R Koski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1013 E Boxelder Rd
Gillette, WY 82718-5923
Phone (307) 682-4900
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gillette Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Casper Orthopaedic Associates PC | Physical Therapist | Past | Accepting new patients |
Locations
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
1013 E Boxelder Rd
Ste 100
Gillette, WY 82718
Phone (307) 682-4900
1013 E Boxelder Rd
Gillette, WY 82718
Phone (307) 682-4900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Gillette, WY
- NPI 1154379998
-
- Orthopaedic Surgery Physician
- Casper, WY
- NPI 1962494864
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1023736089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 DALLAS PKWY STE 290",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347493",
"telephone_number": "945-260-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 E BOXELDER RD STE 100",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185936",
"telephone_number": "307-682-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREVLOW",
"first_name": "CASSIDY",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-2196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIDY",
"last_name": "KOSKI",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.