Active NPI
Lorin Brent Kaufman, MPT
- Physical Therapist
- Lander, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT493
- Practice address
- 8168 Hwy 789
Lander, WY 82520 - Phone
- (307) 332-5240
- Fax
- (307) 332-5241
- NPI assigned
- Jul 28, 2006
- Last updated
- Nov 9, 2007
- Sex
- Male
- 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 | PT493 | WY | Primary |
Addresses
Primary practice location
8168 Hwy 789
Lander, WY 82520
Mailing address
2002 W Sunset
Suite 1
Riverton, WY 82501
Phone (307) 856-7021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307985 | Other | WY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT493 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon County Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fremont Therapy Group LLC | Physical Therapist | Current | Accepting new patients |
| Fremont Therapy Group Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Fremont Therapy Group Limited Partnership | Current | Accepting new patients |
Locations
8168 State Highway 789
Lander, WY 82520
Phone (307) 332-5240
1102 W Spruce St
Rawlins, WY 82301
Phone (307) 370-9175
2002 W Sunset Dr
Ste 1
Riverton, WY 82501
Phone (307) 856-7021
1401 Gateway Blvd
Unit 2
Rock Springs, WY 82901
Phone (307) 352-3626
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Rawlins, WY
- NPI 1457961252
Physical Therapist
-
- Physical Therapist
- Riverton, WY
- NPI 1487244042
-
- Physical Therapist
- Riverton, WY
- NPI 1477568046
-
- Durable Medical Equipment & Medical Supplies
- Green River, WY
- NPI 1649165317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1093729543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 W SUNSET",
"address_2": "SUITE 1",
"city": "RIVERTON",
"state": "WY",
"postal_code": "82501",
"telephone_number": "307-856-7021",
"fax_number": "307-856-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8168 HWY 789",
"city": "LANDER",
"state": "WY",
"postal_code": "82520",
"telephone_number": "307-332-5240",
"fax_number": "307-332-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "LORIN",
"middle_name": "BRENT",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "307985",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.