Roger Pomeroy
Individual provider Active NPI Physical Therapist · Thermopolis, WY
NPI 1376943696 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1376943696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-1205 (WY)
- Practice address
- 148 E Arapahoe St
Thermopolis, WY 82443-2402 - Phone
- (307) 864-2146
- Fax
- (307) 864-2857
- NPI assigned
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1205 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1205 | WY | Yes |
Addresses
Primary practice location
148 E Arapahoe St
Thermopolis, WY 82443-2402
Mailing address
PO Box 790
Thermopolis, WY 82443-0790
Phone (307) 864-2146
Other providers in Thermopolis, WY
- Gary D Olheiser
- Paintbrush Dental, PC
- Christopher H Paris
- Physical Therapy Clinic PC
- Leif Andrew Polson
- Leila H Porath
- Thomas E Radosevich
- Michael J Rawlings
- Red Rock Family Practice, Inc
- Red Rock Family Practice, PC
All providers in Thermopolis, WY · Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.