Active NPI
Nikolai Breitkopf, MSPT
- Physical Therapist
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1105
- Practice address
- 1900 Converse Ave
Cheyenne, WY 82001-4112 - Phone
- (307) 514-2411
- Fax
- (307) 514-2392
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- 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 | 1105 | WY | Primary |
Addresses
Primary practice location
1900 Converse Ave
Cheyenne, WY 82001-4112
Mailing address
PO Box 1790
Douglas, WY 82633-1790
Phone (307) 358-9464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, NE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Sanford School of Medicine of University of South Dakota, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-9464
3917 E Pershing Blvd
Cheyenne, WY 82001-6187
Phone (307) 514-2411
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.96 of 100
- Quality
- 70.73
- Improvement activities
- 40
- Cost
- 70.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| North Platte Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Bear Lodge Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Memorial Hospital of Converse County | Past | Accepting new patients | |
| Northplatte Physical Therpy Services Inc | Physical Therapist | Past | Accepting new patients |
Locations
3315 10th St
Gering, NE 69341
Phone (308) 633-5361
311 Thelma Dr
Casper, WY 82609
Phone (307) 234-2334
3831 Denis Dr
Ste 200
Casper, WY 82604
Phone (307) 234-9067
3917 E Pershing Blvd
Cheyenne, WY 82001
Phone (307) 514-2411
7226 Commons Dr
Ste B
Cheyenne, WY 82009
Phone (307) 514-5834
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771
777 Avenue H
Powell, WY 82435
Phone (307) 754-1175
1301 E M St
Torrington, WY 82240
Phone (307) 532-5355
Organizations & group practices 6
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 Therapist
- Douglas, WY
- NPI 1093914111
-
- Physical Therapist
- Sundance, WY
- NPI 1558690099
-
- Physical Therapist
- Gering, NE
- NPI 1508190240
-
- Physical Therapist
- Douglas, WY
- NPI 1366493264
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
-
- Physical Therapist
- Casper, WY
- NPI 1336190230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1174714232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1790",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826331790",
"telephone_number": "307-358-9464",
"fax_number": "307-358-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CONVERSE AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014112",
"telephone_number": "307-514-2411",
"fax_number": "307-514-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITKOPF",
"first_name": "NIKOLAI",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1105",
"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 Jul 17, 2015; 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.