Individual provider Active NPI

Lorin Brent Kaufman, MPT

  • Physical Therapist
  • Lander, WY
National Provider Identifier
1093729543
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT493 Issued in WY
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
307985OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000774 WY Practitioner - Physical Therapist in Private Practice 2567445950 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT493WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon County Therapy LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Fremont Therapy Group LLC Physical Therapist CurrentSince Apr 20, 1999 Accepting new patients
Fremont Therapy Group Limited Partnership Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Fremont Therapy Group Limited Partnership CurrentSince Apr 1, 2021 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.

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.

Verify at the official NPI Registry.