NPIMap

Organization Active NPI

Castle Rock Physical Therapy

  • Physical Therapist
  • Green River, WY
National Provider Identifier
1265760714
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CASTLE ROCK PHYSICAL THERAPY
Practice address
1400 Uinta Dr
Green River, WY 82935-5060
Phone
(307) 872-4500
Fax
(307) 872-4595
NPI assigned
Nov 20, 2009
Organization subpart
Yes
Parent organization
CASTLE ROCK SPECIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Susan Bybee
Title
Chief Financial Officer
Phone
(307) 872-4530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1400 Uinta Dr
Green River, WY 82935-5060

Mailing address

1400 Uinta Dr
Green River, WY 82935-5060
Phone (307) 872-4500

Other identifiers 1

IdentifierTypeStateIssuer
1064282-02MedicaidWY

National Provider Directory

National Provider Directory
Tax ID family
Castle Rock Convales6 organizations share this tax ID, including this one
Part of
Castle Rock Convales

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1265760714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355060",
            "telephone_number": "307-872-4500",
            "fax_number": "307-872-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355060",
            "telephone_number": "307-872-4500",
            "fax_number": "307-872-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE ROCK SPECIAL HOSPITAL DISTRICT",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BYBEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "307-872-4530"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064282-02",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.