Active NPI
Myron T Recob, PT
- Physical Therapist
- Cheyenne, WY
National Provider Identifier
1184704835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 692
- Practice address
- 331 Arbor Lane
Cheyenne, WY 82009-4173 - Phone
- (307) 635-0849
- NPI assigned
- Oct 17, 2006
- 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 | 692 | WY | Primary |
Addresses
Primary practice location
331 Arbor Lane
Cheyenne, WY 82009-4173
Mailing address
331 Arbor Lane
Cheyenne, WY 82009-4173
Phone (307) 635-0849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692 | WY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Sports Medicine Clinic PC | Past | Accepting new patients |
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.
-
- Sports Physical Therapist
- Cheyenne, WY
- NPI 1376690214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184704835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 ARBOR LANE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094173",
"telephone_number": "307-635-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 ARBOR LANE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094173",
"telephone_number": "307-635-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECOB",
"first_name": "MYRON",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "692",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.