Individual provider Active NPI

Erin Rose Terry, PT, DPT

  • Physical Therapist
  • Lander, WY
National Provider Identifier
1366080137
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1933 Issued in WY
Practice address
634 Main St
Lander, WY 82520-3034
Phone
(307) 332-2715
Fax
(307) 332-0314
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0016684 CO
Physical Therapist 225100000X 043459 NY
Physical Therapist 225100000X PT-1933 WY Primary

Addresses

Primary practice location

634 Main St
Lander, WY 82520-3034

Mailing address

1684 State Route 13
Cayuta, NY 14824-9630
Phone (607) 857-8499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521004131 WY Practitioner - Physical Therapist in Private Practice 3678984994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sinks Canyon Therapies IncGroup PAC ID 6800022716, 7 clinicians

Practice addresses (Care Compare)

634 Main St
Lander, WY 82520-3034
Phone (307) 332-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016684COMDPhysical Therapist
043459NYMDPhysical Therapist
PT-1933WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinks Canyon Therapies Inc Physical Therapist CurrentSince Mar 23, 2024 Accepting new patients
Sinks Canyon Therapies Inc Current Accepting new patients
Osback Pharmaceuticals Inc PastSince Mar 27, 2022 Accepting new patients

Locations

634 Main St
Lander, WY 82520
Phone (307) 332-2715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1366080137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 STATE ROUTE 13",
            "city": "CAYUTA",
            "state": "NY",
            "postal_code": "148249630",
            "telephone_number": "607-857-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203034",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ERIN",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016684",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043459",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.