Active NPI
Kendra Evans, DPT, PT
- Physical Therapist
- Laramie, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1960
- Practice address
- 3125 E Grand Ave
Laramie, WY 82070-5137 - Phone
- (307) 742-3110
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1960 | WY | Primary |
Addresses
Primary practice location
3125 E Grand Ave
Laramie, WY 82070-5137
Mailing address
3125 E Grand Ave
Laramie, WY 82070-5137
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://highcountrypt.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3125 E Grand Ave
Unit a
Laramie, WY 82070-5137
Phone (307) 742-3110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1960 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blair Investments Inc | Single Specialty | Current | Accepting new patients |
| Pedrick Inc | Single Specialty | Past | Accepting new patients |
Locations
1541 Centennial Ct
Casper, WY 82609
Phone 30723539104151
4020 Laramie St
Cheyenne, WY 82001
Phone (307) 637-4617
3125 E Grand Ave
Laramie, WY 82070
Phone (307) 472-3110
3125 E Grand Ave
Unit A
Laramie, WY 82070
Phone (307) 637-4617
4037 E Grand Ave
Ste C
Laramie, WY 82070
Phone (307) 742-3110
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1295350684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 E GRAND AVE",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 E GRAND AVE",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705137",
"telephone_number": "307-742-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KENDRA",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WY",
"license": "1960",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://highcountrypt.com/",
"affiliation": "N",
"endpointDescription": "Website URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3125 E Grand Ave",
"city": "Laramie",
"state": "WY",
"country_code": "US",
"postal_code": "820705137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.