Deidra Cottenoir, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1224 Issued in WY

Practice address

311 Thelma Dr
Casper, WY 82609-2325

Phone

(307) 234-2662

Fax

(307) 234-8810

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Physical Therapy LLCGroup PAC ID 4880905694, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optimal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1962894451

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Northplatte Physical Therpy Services Inc

  • Physical Therapist
  • Casper, WY
  • NPI 1336190230
  NPD (past)
• Optimal Physical Therapy, LLC

  • Clinical Social Worker
  • Casper, WY
  • NPI 1063340891
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1225215635",
    "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": "311 THELMA DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092325",
            "telephone_number": "307-234-2662",
            "fax_number": "307-234-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTENOIR",
        "first_name": "DEIDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225215635",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Costalez, RN
• Jeri Costel
• Erica Leigh Costello, PA-C
• Malary Maude Cotnoir, PA
• Rachel Meredith Coto
• Hannah Roberta Couldridge, BSW, CSW
• Christian Daniel Coulter
• Donald Coulter, NP
• Counseling With Christy
• James C Cowser, LCSW, MCAP

• Physical Therapist in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.