Individual provider Active NPI

Holly J Girmus, PT, DPT

  • Physical Therapist
  • Cheyenne, WY
National Provider Identifier
1124429162
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1262 Issued in WY
Practice address
1951 Bluegrass Circle Champlin Physical Therapy, LLC
(Dba: Physical Therapy Center of Wy)
Cheyenne, WY 82009-7355
Phone
(307) 773-8533
Fax
(307) 635-7578
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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-1262 WY Primary

Addresses

Primary practice location

1951 Bluegrass Circle Champlin Physical Therapy, LLC
(Dba: Physical Therapy Center of Wy)
Cheyenne, WY 82009-7355

Mailing address

1951 Bluegrass Circle Champlin Physical Therapy, LLC
(Dba: Physical Therapy Center of Wy)
Cheyenne, WY 82009-7355
Phone (307) 773-8533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150109001839 WY Practitioner - Physical Therapist in Private Practice 4486978905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champlin Physical Therapy LLCGroup PAC ID 8022108380, 12 clinicians

Practice addresses (Care Compare)

1951 Bluegrass Cir
Cheyenne, WY 82009-7355
Phone (307) 773-8533

Merit-based Incentive Payment System (MIPS)

Final score
85.47 of 100Reported as individual
Quality
82.51
Improvement activities
40
Cost
74.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1262WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champlin Physical Therapy, LLC Physical Therapist CurrentSince Sep 2, 2014 Accepting new patients

Locations

1951 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 773-8533

Organizations & group practices 1

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1124429162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIRCLE CHAMPLIN PHYSICAL THERAPY, LLC",
            "address_2": "(DBA: PHYSICAL THERAPY CENTER OF WY)",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-773-8533",
            "fax_number": "307-635-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIRCLE CHAMPLIN PHYSICAL THERAPY, LLC",
            "address_2": "(DBA: PHYSICAL THERAPY CENTER OF WY)",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-773-8533",
            "fax_number": "307-635-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRMUS",
        "first_name": "HOLLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.