NPIMap

Organization Active NPI

Wyoming Physical Therapy

Doing business as FYZICAL Therapy and Balance Centers

  • Specialist
  • Cheyenne, WY
National Provider Identifier
1285396507
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WYOMING PHYSICAL THERAPY
Doing business as
FYZICAL Therapy and Balance Centers
Practice address
611 E Carlson St Ste 117
Cheyenne, WY 82009-4335
Phone
(307) 772-0955
Fax
(307) 772-0953
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Douglas K. Wilson
Title
Owner
Phone
(307) 772-0955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X

Addresses

Primary practice location

611 E Carlson St Ste 117
Cheyenne, WY 82009-4335

Mailing address

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

Other names 1

  • FYZICAL Therapy and Balance Centers 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

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1285396507",
    "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": "611 E CARLSON ST STE 117",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094335",
            "telephone_number": "307-772-0955",
            "fax_number": "307-772-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-772-0955"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.