Kilter Physical Therapy and Sport Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KILTER PHYSICAL THERAPY AND SPORT PERFORMANCE LLC

Practice address

3580 South Park Drive
Suite 203
Jackson, WY 83001

Phone

(307) 699-9900

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Greer Burnside

Title

Office Manager

Phone

(307) 699-9900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1295597482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7437",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830027437",
            "telephone_number": "307-699-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SOUTH PARK DRIVE",
            "address_2": "SUITE 203",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-699-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILTER PHYSICAL THERAPY AND SPORT PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-12",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "GREER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-699-9900"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Lloyd Kennedy, PT, DPT
• Kerry Carr Integrative Mental Health
• Mackenzie Kew, LCSW
• David Khoury IV, MD
• Margaret Kibbler, CHWC
• Mindy Kim-Miller, MD, PHD
• Elizabeth Kingwill, M.A. L.P.C.
• Nancy Anne Kirkwood
• Stephanie Kiser, LCSW
• Christina Moran Kitchen, FNP

• Physical Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.