Nicholas Henry Hastert, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1716 Issued in WY

Practice address

330 Upland Way
Green River, WY 82935

Phone

(307) 875-4654

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Therapy Group Limited PartnershipGroup PAC ID 4284042649, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fremont Therapy Group Limited Partnership

  • Physical Therapist
  • Riverton, WY
  • NPI 1487244042
  Medicare reassignment Care Compare group NPD
• Fremont Therapy Group LLC

  • Physical Therapist
  • Riverton, WY
  • NPI 1477568046
  Medicare reassignment NPD
• Fremont Therapy Group Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Green River, WY
  • NPI 1649165317
  NPD

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1306376975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SUMMERVIEW DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355454",
            "telephone_number": "307-871-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 UPLAND WAY",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "82935",
            "telephone_number": "307-875-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTERT",
        "first_name": "NICHOLAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel David Gomez, PHARM D.
• Darrin Lee Goyn, MPT
• Jean M. Guy, P.T.
• Tanya Lynn Hanson
• Cory Harrison, DPT
• Ebony Devon Herrera
• Matthew Gelston Herron
• High Plains Physical Therapy Limited Partnership
• High Plains Physical Therapy Limited Partnership
• Jodie S Hix

• Physical Therapist in Green River, WY
• Providers in Green River, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.