Andrew Overstreet, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2029 Issued in WY

Practice address

603 E Carlson St Ste 304
Cheyenne, WY 82009-4443

Phone

(307) 514-9999

Fax

(307) 514-6006

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Top Therapy PCGroup PAC ID 7315256765, 5 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.

• Top Therapy, PC

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1861877748

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Teton Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Riverton, WY
  • NPI 1275564122

  Physical Therapist

  NPD

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1366040594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013239",
            "telephone_number": "303-963-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E CARLSON ST STE 304",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094443",
            "telephone_number": "307-514-9999",
            "fax_number": "307-514-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT2029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT2029",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellie Ottman, PT, DPT
• Lisa Otto
• Outside Therapy LLC
• Ovella Health LLC
• Heidi Marie Overall-Block, M.A. - L.M.F.T.
• Cheradyn Owen, BSW
• Judith A Owens, MSW PCSW
• Sydney Ozment, RBT
• Sheena Lee Pacheco, FNP
• Renee Marie Padilla

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.