Individual provider Active NPI

Michael J Barnett, DPT

  • Physical Therapist
  • Casper, WY
National Provider Identifier
1356692487
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1326 Issued in WY
Practice address
4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265
Phone
(307) 472-8871
Fax
(307) 235-6262
NPI assigned
Sep 28, 2012
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-1326 WY Primary

Addresses

Primary practice location

4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265

Mailing address

4140 Centennial Hills Blvd Ste B
Casper, WY 82609-3265
Phone (307) 472-8871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181229000158 WY Practitioner - Physical Therapist in Private Practice 3072735174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Orthopaedic Associates PCGroup PAC ID 9436148624, 30 clinicians

Practice addresses (Care Compare)

4140 Centennial Hills Blvd
Suite B
Casper, WY 82609-3265
Phone (307) 472-8891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1326WYMDDentist
PT-1326WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC CurrentSince Oct 8, 2018 Accepting new patients
Casper Orthopaedic Associates PC Physical Therapist CurrentSince Oct 8, 2018 Accepting new patients
Casper Orthopaedic Associates PC Physical Therapist PastSince Jul 18, 2001 Accepting new patients

Locations

3035 Cy Ave
Casper, WY 82604
Phone (307) 337-3204

4140 Centennial Hills Blvd
Ste B
Casper, WY 82609
Phone (307) 472-8871

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1356692487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-472-8871",
            "fax_number": "307-235-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265",
            "telephone_number": "307-472-8871",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 2023; 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.