Individual provider Active NPI

Roger T. Fuhrman, PT

  • Physical Therapist
  • Casper, WY
National Provider Identifier
1124223870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-77 Issued in WY
Practice address
940 E 3Rd St Ste 103
Casper, WY 82601-3200
Phone
(307) 577-0402
Fax
(307) 577-0403
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PT-77 WY Primary

Addresses

Primary practice location

940 E 3Rd St Ste 103
Casper, WY 82601-3200

Mailing address

940 E 3Rd St Ste 103
Casper, WY 82601-3200
Phone (307) 577-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT-77WYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124223870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 103",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-577-0402",
            "fax_number": "307-577-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 103",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013200",
            "telephone_number": "307-577-0402",
            "fax_number": "307-577-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMAN",
        "first_name": "ROGER",
        "middle_name": "T.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.