Active NPI
Timothy P Stecker, MPT
- Physical Therapist
- Cody, WY
National Provider Identifier
1306938097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1141
- Practice address
- 720 Lindsay LN
Cody, WY 82414-4103 - Phone
- (307) 578-1970
- Fax
- (307) 578-1973
- NPI assigned
- Sep 29, 2006
- Last updated
- Oct 25, 2007
- Sex
- Male
- 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-1141 | WY | Primary |
Addresses
Primary practice location
720 Lindsay LN
Cody, WY 82414-4103
Mailing address
720 Lindsay LN
Cody, WY 82414-4103
Phone (307) 578-1970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315269 | Other | WY | BLUE CROSS BLUE SHIELD |
| 23926 | Other | WY | WINHEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1141 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients | |
| William H and Carrie Gottsche Foundation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1487295846
-
dba Gottsche Rehabilitation Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Thermopolis, WY
- NPI 1558319392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1306938097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 LINDSAY LN",
"city": "CODY",
"state": "WY",
"postal_code": "824144103",
"telephone_number": "307-578-1970",
"fax_number": "307-578-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 LINDSAY LN",
"city": "CODY",
"state": "WY",
"postal_code": "824144103",
"telephone_number": "307-578-1970",
"fax_number": "307-578-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECKER",
"first_name": "TIMOTHY",
"middle_name": "P",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-1141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "315269",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WINHEALTH PARTNERS",
"identifier": "23926",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.