NPIMap

Organization Active NPI

Wyoming Physical Therapy PC

Doing business as Brookside Physical Therapy

  • Specialist
  • Denver, CO
National Provider Identifier
1265209316
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WYOMING PHYSICAL THERAPY PC
Doing business as
Brookside Physical Therapy
Practice address
633 17TH St Ste 2325
Denver, CO 80202-3627
Phone
(303) 256-2505
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Walter Wilson
Title
Owner
Phone
(720) 223-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

633 17TH St Ste 2325
Denver, CO 80202-3627

Mailing address

1217 S Greeley Hwy Ste a
Cheyenne, WY 82007-3063

Other names 1

  • Brookside Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookside Physical Therapy14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1217 S Greeley Hwy
Ste A
Cheyenne, WY 82007
Phone (307) 772-0955

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1265209316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S GREELEY HWY STE A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820073063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 17TH ST STE 2325",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023627",
            "telephone_number": "303-256-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-223-6177"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.