Organization Active NPI

Northplatte Physical Therpy Services Inc

  • Physical Therapist
  • Casper, WY
National Provider Identifier
1336190230
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTHPLATTE PHYSICAL THERPY SERVICES INC
Practice address
311 Thelma Dr
Casper, WY 82609-2325
Phone
(307) 234-2662
NPI assigned
May 15, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Lisa Mangus
Title
Cfo
Phone
(307) 358-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

311 Thelma Dr
Casper, WY 82609-2325

Mailing address

PO Box 1790
Douglas, WY 82633-1790
Phone (307) 358-9464

Other practice location 1

3831 Denis Dr Ste 200
Casper, WY 82604-4345
Phone (307) 234-9067

Other identifiers 1

IdentifierTypeStateIssuer
106962400MedicaidWY

National Provider Directory

National Provider Directory
Tax ID family
N Platte Physical Therapy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 Thelma Dr
Casper, WY 82609
Phone (307) 234-2662

3831 Denis Dr
Ste 200
Casper, WY 82604
Phone (307) 234-9067

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1336190230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1790",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826331790",
            "telephone_number": "307-358-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 THELMA DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092325",
            "telephone_number": "307-234-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 Denis Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826044345",
            "country_code": "US",
            "telephone_number": "307-234-9067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHPLATTE PHYSICAL THERPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "MANGUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-358-9464"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106962400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.