NPIMap

Organization Active NPI

Rocky Mountain Therapy LLC

Doing business as Rocky Mountain Therapy

  • Physical Therapist
  • Casper, WY
National Provider Identifier
1265493902
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-891 Issued in WY
Legal business name
ROCKY MOUNTAIN THERAPY LLC
Doing business as
Rocky Mountain Therapy
Practice address
2546 E 2ND St
Building 500
Casper, WY 82609-2047
Phone
(307) 577-5204
Fax
(307) 577-5212
NPI assigned
Mar 31, 2006
Last updated
May 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mrs. Katherine Lynn Holder, OTR/LNPI 1962408567
Title
Owner
Phone
(307) 577-5204

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 11

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X COTA-621 WY
Occupational Therapy Assistant 224Z00000X COTA-534 WY
Occupational Therapy Assistant 224Z00000X COTA-589 WY
Occupational Therapy Assistant 224Z00000X COTA-617 WY
Physical Therapist 225100000X PT-891 WY Primary
Physical Therapy Assistant 225200000X PTA-331 WY
Physical Therapy Assistant 225200000X PTA-537 WY
Occupational Therapist 225X00000X OTR-452 WY
Hand Occupational Therapist 225XH1200X OTR-031 WY
Speech-Language Pathologist 235Z00000X SP-395 WY
Speech-Language Pathologist 235Z00000X SP-169 WY

Addresses

Primary practice location

2546 E 2ND St
Building 500
Casper, WY 82609-2047

Mailing address

2546 E 2ND St
Building 500
Casper, WY 82609-2047
Phone (307) 577-5204

Other identifiers 3

IdentifierTypeStateIssuer
00693001OtherWYBCBS OF WYOMING
3120039OtherWYWY WORKERS COMP BA #
118492000MedicaidWY

Other names 1

  • Rocky Mountain Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720000086 WY Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6204968704 Practice locations: Casper, WY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265493902. Details of each certification follow.

  • CCN 536508 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 536508

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Rocky Mountain Therapy, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 9, 2004
Last certification
Jun 15, 2023
Ownership / control type
Proprietary
Facility address
2546 E 2nd St, Bldg 500
Casper, WY 82609

National Provider Directory

National Provider Directory

Locations

2546 E 2nd St
Ste 500
Casper, WY 82609
Phone (307) 577-5204

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1265493902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST",
            "address_2": "BUILDING 500",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092047",
            "telephone_number": "307-577-5204",
            "fax_number": "307-577-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 E 2ND ST",
            "address_2": "BUILDING 500",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092047",
            "telephone_number": "307-577-5204",
            "fax_number": "307-577-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-577-5204",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-621",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-534",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-589",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-617",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-891",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "PTA-331",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "PTA-537",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-452",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WY",
            "license": "OTR-031",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-395",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WYOMING",
            "identifier": "00693001",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY WORKERS COMP BA #",
            "identifier": "3120039",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118492000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Mountain Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.