Active NPI
307 Diagnostic Center
- Physical Medicine & Rehabilitation Physician
- Casper, WY
National Provider Identifier
1235084328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- 307 DIAGNOSTIC CENTER
- Practice address
- 1541 Centennial CT
Casper, WY 82609-7304 - Phone
- (307) 439-6465
- NPI assigned
- Mar 3, 2026
- Last updated
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Blair, DPT
- Title
- Owner
- Phone
- (307) 235-3910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1541 Centennial CT
Casper, WY 82609-7304
Mailing address
137 E 13TH St
Casper, WY 82601-4230
Phone (307) 439-6465
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Casper, WY
- NPI 1649323460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1235084328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 E 13TH ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826014230",
"telephone_number": "307-439-6465"
},
{
"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": "307-439-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "307 DIAGNOSTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "BLAIR",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-235-3910",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.