NPIMap

Organization Active NPI

Beartooth Physical Therapy

  • Physical Therapist
  • Sheridan, WY
National Provider Identifier
1144598491
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1154 Issued in WY
Legal business name
BEARTOOTH PHYSICAL THERAPY
Practice address
1333 W 5TH St
Suite 203
Sheridan, WY 82801-2752
Phone
(307) 752-9335
NPI assigned
Dec 1, 2011
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Misty D Gardner, MS, DPTNPI 1215942099
Title
Owner/Supervisor
Phone
(307) 752-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 1154 WY Primary

Addresses

Primary practice location

1333 W 5TH St
Suite 203
Sheridan, WY 82801-2752

Mailing address

PO Box 306
Big Horn, WY 82833-0306
Phone (307) 752-9335

National Provider Directory

National Provider Directory

Locations

138 S Main St
Sheridan, WY 82801
Phone (307) 752-7335

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1144598491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "BIG HORN",
            "state": "WY",
            "postal_code": "828330306",
            "telephone_number": "307-752-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST",
            "address_2": "SUITE 203",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-752-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARTOOTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "307-752-9335",
        "authorized_official_credential": "MS, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT 1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.