Black Tooth Physiotherapy Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLACK TOOTH PHYSIOTHERAPY PERFORMANCE, LLC

Practice address

109 W Hesse St
Buffalo, WY 82834-1501

Phone

(307) 621-0935

Fax

(844) 409-0424

NPI assigned

Nov 25, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Matthew James Scarlett, MS, PT, DPTNPI 1922843135

Title

Doctor of Physical Therapy

Phone

(307) 620-5712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew James Scarlett, MS, PT, DPT

  • Physical Therapist
  • Buffalo, WY
  • NPI 1922843135
  Medicare reassignment NPD Authorized official
• Tanner Spade, DPT, OCS, SCS

  • Physical Therapist
  • Buffalo, WY
  • NPI 1659961845
  Medicare reassignment NPD

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1306708557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W HESSE ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341501",
            "telephone_number": "307-621-0935",
            "fax_number": "844-409-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W HESSE ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341501",
            "telephone_number": "307-621-0935",
            "fax_number": "844-409-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK TOOTH PHYSIOTHERAPY PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "307-620-5712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Albright
• Penny Bangs, CTRS
• Collin G Beecher, MS, NCC, LPC
• Julia M. Bettinger, M.S.
• Bidonde Family Practice, LLC
• Timothy A Blaney, PSY.D.
• Tyler Broderick, MS, LPC
• Buffalo Chiropractic LLC
• Buffalo Family Chiropractic, LLC
• Buffalo Prescription Shop, Inc

• Physical Therapy Clinic/Center in Buffalo, WY
• Providers in Buffalo, WY by specialty
• Physical Therapy Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.