Brett A Jenks, PT, DPT, MDT, CFPS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1552 Issued in WY

Practice address

1262 W 5TH St
Sheridan, WY 82801-2702

Phone

(307) 336-7774

Fax

(307) 202-4643

NPI assigned

Apr 25, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1245627447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 COFFEEN AVE.",
            "address_2": "STE 101 PMB 286",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017004",
            "telephone_number": "307-336-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012702",
            "telephone_number": "307-336-7774",
            "fax_number": "307-202-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKS",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MDT, CFPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-25",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WY",
            "license": "PT1552",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT1552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR BACK COUNTRY PHYSICAL THERAPY, LLC",
            "identifier": "1558742981",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Jannelli
• Karl Eric Jantz, LCSW
• Jeffery W. Edstrom
• Charlotte Jenkins
• Jessica Jenkins, LPC,LADC/MH
• Ryan Jenks, MA, CCC-SLP
• Jodi'S Heart Inc.
• Jodi'S Heart Inc.
• Kelli Ann Johnson
• Shawn Michael Johnson, M.S.W, C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.