Active NPI
Jennifer Ann Buelt, PT
- Physical Therapist
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1245
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-1245 | Other | WY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
4140 Centennial Hills Blvd
Casper, WY 82609-3265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1245 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casper Orthopaedic Associates PC | Physical Therapist | Current | Accepting new patients |
| Casper Orthopaedic Associates PC | Physical Therapist | Current | Accepting new patients |
| Casper Orthopaedic Associates PC | Current | 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.
-
- Physical Therapy Clinic/Center
- Casper, WY
- NPI 1952820789
Physical Therapist, WY
-
- Orthopaedic Surgery Physician
- Casper, WY
- NPI 1962494864
Physical Therapist, WY
-
- Durable Medical Equipment & Medical Supplies
- Douglas, WY
- NPI 1912622721
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1295863744
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.