NPIMap

Organization Active NPI

North Platte Physical Therapy Services, Inc.

  • Physical Therapist
  • Douglas, WY
National Provider Identifier
1093914111
Registry record updated Oct 3, 2011
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
111 S 5TH St
Douglas, WY 82633-2434
Phone
(307) 358-9464
Fax
(307) 358-9330
NPI assigned
Jul 18, 2007
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Mrs. Lisa M Mangus, CFO
Title
Cfo
Phone
(307) 358-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

111 S 5TH St
Douglas, WY 82633-2434

Mailing address

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-9464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040607000307 WY Part B Supplier - Clinic/Group Practice 8921080565 Receives reassigned benefits from 50 practitioners
Practice locations: Upton, WY; Wheatland, WY; Torrington, WY; Sundance, WY; Powell, WY; Newcastle, WY; Moorcroft, WY; Guernsey, WY…
O20100225000900 WY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911041199 Receives reassigned benefits from 41 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Moorcroft, WY; Sundance, WY; Upton, WY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

311 Thelma Dr
Casper, WY 82609
Phone (307) 234-2334

3831 Denis Dr
Ste 200
Casper, WY 82604
Phone (307) 234-9067

1900 Converse Ave
Unit B
Cheyenne, WY 82001
Phone (307) 514-2411

3917 E Pershing Blvd
Cheyenne, WY 82001
Phone (307) 514-2392

453 Vandehei Ave
Ste 130
Cheyenne, WY 82009
Phone (307) 514-5834

7226 Commons Dr
Ste B
Cheyenne, WY 82009
Phone (307) 514-5834

2610 S Douglas Hwy
Gillette, WY 82718
Phone (307) 686-2569

620 Four-J Ct
Gillette, WY 82716
Phone (307) 686-2569

469 S Mountain View St
Ste 2
Powell, WY 82435
Phone (307) 359-7700

1301 E M St
Torrington, WY 82240
Phone (307) 532-5355

1456 Paragon Way
Wheatland, WY 82201
Phone (307) 322-1878

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1093914111",
    "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": {
        "organization_name": "NORTH PLATTE PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "MANGUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-358-9464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.