Individual provider Active NPI

Jennifer Ann Buelt, PT

  • Physical Therapist
  • Casper, WY
National Provider Identifier
1124346846
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1245 Issued in WY
Practice address
4070 Plaza Dr Ste 107
Casper, WY 82604-4296
Phone
(307) 265-7205
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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-1245 WY Primary

Addresses

Primary practice location

4070 Plaza Dr Ste 107
Casper, WY 82604-4296

Mailing address

4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265

Other identifiers 1

IdentifierTypeStateIssuer
PT-1245OtherWYSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000535 WY Practitioner - Physical Therapist in Private Practice 6002944964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Orthopaedic Associates PC 30 clinicians

Practice addresses (Care Compare)

4140 Centennial Hills Blvd
Casper, WY 82609-3265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1245WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Casper Orthopaedic Associates PC Physical Therapist CurrentSince May 10, 2010 Accepting new patients
Casper Orthopaedic Associates PC CurrentSince May 10, 2010 Accepting new patients

Locations

4140 Centennial Hills Blvd
Ste A
Casper, WY 82609
Phone (307) 472-8871

4140 Centennial Hills Blvd
Ste B
Casper, WY 82609
Phone (307) 472-8871

3035 Cy Ave
Casper, WY 82604
Phone (307) 337-3204

4070 Plaza Dr
Ste 107
Casper, WY 82604
Phone (307) 337-3204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1124346846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 PLAZA DR STE 107",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044296",
            "telephone_number": "307-265-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT-1245",
            "state": "WY"
        }
    ],
    "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 Nov 13, 2023; 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.