NPIMap

Organization Active NPI

Giddy Up Wellness & Therapy Services

  • Physical Therapy Clinic/Center
  • Sheridan, WY
National Provider Identifier
1366853418
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1358 Issued in WY
Legal business name
GIDDY UP WELLNESS & THERAPY SERVICES
Practice address
1949 Sugarland Drive
Suite 200
Sheridan, WY 82801-5755
Phone
(307) 461-9891
Fax
(307) 939-7097
NPI assigned
May 12, 2014
Last updated
Jun 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Mrs. Michelle Gilmer, PT OTNPI 1982631057
Title
Physical Therapist Occupational the
Phone
(307) 461-9891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1358 WY Primary

Addresses

Primary practice location

1949 Sugarland Drive
Suite 200
Sheridan, WY 82801-5755

Mailing address

1949 Sugarland Drive
Suite 200
Sheridan, WY 82801-5755
Phone (307) 461-9891

National Provider Directory

National Provider Directory

Locations

1949 Sugarland Dr
Ste 200
Sheridan, WY 82801
Phone (307) 461-9891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1366853418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DRIVE",
            "address_2": "SUITE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015755",
            "telephone_number": "307-461-9891",
            "fax_number": "307-939-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DRIVE",
            "address_2": "SUITE 200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015755",
            "telephone_number": "307-461-9891",
            "fax_number": "307-939-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDDY UP WELLNESS & THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "GILMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OCCUPATIONAL THE",
        "authorized_official_telephone_number": "307-461-9891",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT OT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WY",
            "license": "1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.