Wyo Sports Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WYO SPORTS THERAPY, LLC

Practice address

4155 Legion LN # 1&2
Casper, WY 82609-1946

Phone

(307) 262-7923

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Brett KautzmannNPI 1457027781

Title

Owner

Phone

(307) 262-7923

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brett Kautzmann, PT, DPT

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1457027781
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1316711682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 ROGUE RIVER RD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 LEGION LN # 1&2",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826091946",
            "telephone_number": "307-262-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYO SPORTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "KAUTZMANN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-262-7923"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Wright, R.N.
• Jessica M Wylie, COTA/L/CASE MANAGER
• Wymed Supply, LLC.
• Emily Louise Wynn, MSW, LCSW
• Wyo Ortho, LLC
• Wyocity Medical Group LLC
• Wyodentalimplants.Com LLC
• Wyoming Anesthesia, LLC
• Wyoming Behavioral Institute
• Wyoming Behavioral Institute

• Physical Therapy Clinic/Center in Casper, WY
• Providers in Casper, 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 Nov 8, 2023; 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.