Organization Active NPI

Parris Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Cheyenne, WY
National Provider Identifier
1164469995
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT843 Issued in WY
Legal business name
PARRIS PHYSICAL THERAPY LLC
Practice address
4202 Ridge Rd
Cheyenne, WY 82001-1744
Phone
(307) 638-0300
Fax
(307) 638-0394
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Jamie S Parris, MPT
Title
Owner
Phone
(307) 638-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X PT843 WY Primary

Addresses

Primary practice location

4202 Ridge Rd
Cheyenne, WY 82001-1744

Mailing address

PO Box 20188
Cheyenne, WY 82003-7004
Phone (307) 638-0300

Other identifiers 1

IdentifierTypeStateIssuer
313961OtherWYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1164469995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20188",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037004",
            "telephone_number": "307-638-0300",
            "fax_number": "307-638-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 RIDGE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011744",
            "telephone_number": "307-638-0300",
            "fax_number": "307-638-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRIS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-638-0300",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WY",
            "license": "PT843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313961",
            "state": "WY"
        }
    ],
    "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 Feb 1, 2008; 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.