Organization Active NPI

Cirque Therapy Collective LLC

  • Physical Therapist
  • Jackson, WY
National Provider Identifier
1245141589
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CIRQUE THERAPY COLLECTIVE LLC
Practice address
3355 S Tensleep Dr
Unit 5
Jackson, WY 83001
Phone
(435) 999-9625
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Whitney Boyce, PT, DPT
Title
PT/Part-Owner
Phone
(435) 999-9625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

3355 S Tensleep Dr
Unit 5
Jackson, WY 83001

Mailing address

3355 S Tensleep Dr
Unit 5
Jackson, WY 83001
Phone (435) 999-9625

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1245141589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 S TENSLEEP DR",
            "address_2": "UNIT 5",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "435-999-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 S TENSLEEP DR",
            "address_2": "UNIT 5",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "435-999-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRQUE THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "PT/PART-OWNER",
        "authorized_official_telephone_number": "435-999-9625",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.