Shayla Marie Wickett, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2391 Issued in WY

Practice address

1541 Centennial CT
Casper, WY 82609-7304

Phone

(307) 235-3910

Fax

(307) 266-2891

NPI assigned

May 21, 2024

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

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wind City Physical TherapyGroup PAC ID 9830172055, 16 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.

• Wind City Physical Therapy

  • Physical Therapist
  • Casper, WY
  • NPI 1093767121
  Medicare reassignment Care Compare group NPD
• Wind City Physical Therapy

  • Physical Therapist
  • Casper, WY
  • NPI 1114501954
  NPD

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1225877202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1791",
            "address_2": "15 SAGE HILL RD",
            "city": "GLENROCK",
            "state": "WY",
            "postal_code": "826371791",
            "telephone_number": "307-262-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 CENTENNIAL CT",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826097304",
            "telephone_number": "307-235-3910",
            "fax_number": "307-266-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKETT",
        "first_name": "SHAYLA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ragna Irene White, PCSW/ RCSWI
• Jason B Whitman, O.D.
• Justin Tyler Whitson
• Kayla Lynn Whitson, MD
• Cassandra Mae Wickett
• Linda Gail Wicklund
• Allan Benjamin Wicks, M.D.
• Patrick Wicks III, PATRICK
• Marissa Widiker
• Debra Wilcher, LPC

• 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 May 21, 2024; 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.