Charles Wassum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1320 Issued in WY

Practice address

120 S 17TH St
Worland, WY 82401-3637

Phone

(307) 347-4001

NPI assigned

Nov 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Worland Physical TherapyGroup PAC ID 6901022441, 3 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.

• Worland Physical Therapy

  • Physical Therapy Clinic/Center
  • Worland, WY
  • NPI 1366860942

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1396174264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 17TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013637",
            "telephone_number": "307-347-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 17TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013637",
            "telephone_number": "307-347-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSUM",
        "first_name": "CHARLES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washakie Family Planning
• Washakie Medical Center
• Washakie Medical Center
• Washakie Medical Center
• Washakie Medical Center
• Dale Adam Weber, M.S., LPC
• Kenzi L Weddle, BS
• Michael Howard Weigand, RN
• Jennifer Nicole Wheeler
• Wendy K Wiecki, BA, CMHW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.