Nathan Michael Everett, PT, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT1679 Issued in WY

Practice address

433 E 19TH St
Cheyenne, WY 82001-4643

Phone

(307) 222-8993

Fax

(307) 222-5758

NPI assigned

Jan 18, 2017

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physio Sport and Spine LLCGroup PAC ID 2365799590, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physio Sport & Spine LLC

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1841717410
  Medicare reassignment Care Compare group
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115
  NPD (past)

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1356887194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014643",
            "telephone_number": "307-222-8993",
            "fax_number": "307-222-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 19TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014643",
            "telephone_number": "307-222-8993",
            "fax_number": "307-222-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WY",
            "license": "PT1679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerrie L Evans, F.N.P.
• Joshua Ross Evans, RRT
• Kari Evans
• Shelley Annette Evans
• Jamie C Everett, PT, DPT
• Evernorth Care Providers - Arizona PC
• Perla Marie Exinia Poutinen
• Eye Care Clinic & Optical LLC
• Destine Marie Ezell
• Josie Fahl

• Orthopedic Physical Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Orthopedic Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.