Big Country Rehabilitation,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BIG COUNTRY REHABILITATION,LLC

Practice address

111 S 5TH St
Douglas, WY 82633-2434

Phone

(307) 358-9464

NPI assigned

May 15, 2006

Organization subpart

No

Name

Lisa Mangus

Title

Cfo

Phone

(307) 358-9464

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Michael Cometto, DPT

  • Physical Therapist
  • Casper, WY
  • NPI 1386194033
  Medicare reassignment Care Compare group NPD
• Elijah Lee

  • Physical Therapist
  • Douglas, WY
  • NPI 1376307512
  Medicare reassignment Care Compare group NPD
• Joslynn K Parks

  • Occupational Therapist
  • Douglas, WY
  • NPI 1669357018
  Medicare reassignment Care Compare group NPD
• Kaylyn Marie Walton, DPT

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1205484888
  Medicare reassignment Care Compare group NPD
• Michael Wright

  • Physical Therapist
  • Casper, WY
  • NPI 1942921804
  Medicare reassignment Care Compare group NPD
• Alexi Charter, D.P.T.

  • Physical Therapist
  • Silver City, NM
  • NPI 1720461312

  Physical Therapist, WY

  Medicare reassignment Care Compare group NPD
• Michael Raymond Boulter, DPT

  • Physical Therapist
  • Casper, WY
  • NPI 1265663587

  WY

  Medicare reassignment Care Compare group
• Quinn Carroll, PT

  • Physical Therapist
  • Torrington, WY
  • NPI 1568871465

  WY

  Medicare reassignment Care Compare group
• Kara Carter, DPT

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1225535537

  WY

  Medicare reassignment Care Compare group
• Marnie E Herring, MPT

  • Physical Therapist
  • Torrington, WY
  • NPI 1669436275

  WY

  Medicare reassignment Care Compare group
• Veronica L Kramer, PT

  • Physical Therapist
  • Sundance, WY
  • NPI 1902862295

  WY

  Medicare reassignment Care Compare group
• Charles Robert Mangus, P.T.

  • Physical Therapist
  • Douglas, WY
  • NPI 1942264122

  WY

  Medicare reassignment Care Compare group

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2015.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1366493264",
    "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": "111 S 5TH ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332434",
            "telephone_number": "307-358-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG COUNTRY REHABILITATION,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-11-10",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117140201",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Beddes, DDS
• Kirk Bemis
• Leabeth Bennet, RN
• Mary Ellen Bennett, L.P.N.
• Aaron Bernal, DPT
• Jennifer Sue Bila
• Stefani Bissonette, MD
• Shirley D. Blakeley, MA, LPC
• Patricia Blantz
• Andrea Bluel

• All providers in Douglas, WY
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.