Jessica Michelle Mangus

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1438 Issued in WY

Practice address

111 S 5TH St
Douglas, WY 82633-2434

Phone

(307) 358-9464

Fax

(307) 358-9330

NPI assigned

Jul 13, 2012

Last updated

Oct 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, NE2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Country Rehabilitation LLCGroup PAC ID 0648253666, 17 clinicians

North Platte Physical Therapy Services IncGroup PAC ID 8921080565, 34 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.96 of 100Reported as group

Quality

70.73

Improvement activities

40

Cost

70.19

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Platte Physical Therapy Services, Inc.

  • Physical Therapist
  • Douglas, WY
  • NPI 1093914111
  Medicare reassignment Care Compare group NPD
• Big Country Rehabilitation,LLC

  • Physical Therapist
  • Douglas, WY
  • NPI 1366493264
  Medicare reassignment Care Compare group
• Monument Physical Therapy, LLC

  • Physical Therapist
  • Gering, NE
  • NPI 1508190240
  Medicare reassignment NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491
  NPD (past)
• Northplatte Physical Therpy Services Inc

  • Physical Therapist
  • Casper, WY
  • NPI 1336190230
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1093060204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "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": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-9464",
            "fax_number": "307-358-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUS",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex D Locke
• Traci L. Logar, SLPA
• Emily L Long, LPN
• Rebecca Maidl
• Charles Robert Mangus, P.T.
• Robert B Mangus
• Dawn Marie Marchak, LPC
• Alicia Yuka Marcussen, OTR/L
• Terri Ann Joy Marso, PA-C
• Allan Lee Mattern I, M.D.

• Physical Therapist in Douglas, WY
• Providers in Douglas, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.