Active NPI
Nancy A Robertson, PT
- Physical Therapist
- Casper, WY
National Provider Identifier
1295737807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-378
- Practice address
- 2121 E 2ND St Ste 100
Casper, WY 82609-2056 - Phone
- (307) 333-4923
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- No
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 | PT-378 | WY | Primary |
Addresses
Primary practice location
2121 E 2ND St Ste 100
Casper, WY 82609-2056
Mailing address
2121 E 2ND St Ste 100
Casper, WY 82609-2056
Phone (307) 333-4923
Other practice location 1
4140 Centennial Hills Blvd
Ste A
Casper, WY 82609-3265
Phone (307) 265-7205
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305364 | Other | WY | BCBS |
| 113699200 | Medicaid | WY | |
| P00188594 | Other | WY | RR MEDICARE |
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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 W Collins Dr
Casper, WY 82601-2448
Phone (307) 333-2943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-378 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Robertson Therapy | Physical Therapist | Current | Accepting new patients |
Locations
2121 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 333-2943
128 W Collins Dr
Casper, WY 82601
Phone (307) 333-2943
Organizations & group practices 1
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": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1295737807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E 2ND ST STE 100",
"city": "CASPER",
"state": "WY",
"postal_code": "826092056",
"telephone_number": "307-333-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E 2ND ST STE 100",
"city": "CASPER",
"state": "WY",
"postal_code": "826092056",
"telephone_number": "307-333-4923"
}
],
"practiceLocations": [
{
"address_1": "4140 Centennial Hills Blvd",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826093265",
"country_code": "US",
"telephone_number": "307-265-7205",
"fax_number": "307-235-6262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "NANCY",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "305364",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113699200",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00188594",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.