Nicole Stutte, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 0919 Issued in WY

Practice address

1020 E 2ND St
Casper, WY 82601-2946

Phone

(307) 577-8832

Fax

(307) 237-5421

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Physical Therapy LLCGroup PAC ID 6800015447, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Core Physical Therapy, LLC

  • Physical Therapist
  • Sheridan, WY
  • NPI 1972917094
  Medicare reassignment Care Compare group NPD
• Beyond Words Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Sheridan, WY
  • NPI 1114579372
  NPD (past)
• Wyoming Health Medical Group, LLC

  • Internal Medicine Physician
  • Casper, WY
  • NPI 1730324872
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1326459231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S CONWELL ST STE 3",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012749",
            "telephone_number": "307-233-0246",
            "fax_number": "307-237-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012946",
            "telephone_number": "307-577-8832",
            "fax_number": "307-237-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTTE",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT 0919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING STATE LICENSE NUMBER",
            "identifier": "PT 0919",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Struempf, PHARMD
• Finnegan Stubson
• Werner A Studer, MD
• Whitney Stull, PA-C
• Faith P Stultz
• Ella Louise Sucher
• Tisa Sucher, LCSW
• Daniel J Sullivan, MD
• Jennifer Sullivan
• Teneil Rachelle Sullivan, R.N.

• Physical Therapist in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.