Individual provider Active NPI

Ryan J Williams, DPT

  • Physical Therapist
  • Thermopolis, WY
National Provider Identifier
1396941076
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1133 Issued in WY
Practice address
800 Shoshoni St
Thermopolis, WY 82443-3216
Phone
(307) 864-3877
Fax
(307) 864-3549
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-1133 WY Primary

Addresses

Primary practice location

800 Shoshoni St
Thermopolis, WY 82443-3216

Mailing address

PO Box 1126
Thermopolis, WY 82443-1126
Phone (307) 864-3877

Other identifiers 1

IdentifierTypeStateIssuer
313696OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000391 WY Practitioner - Physical Therapist in Private Practice 9436178589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryte Rehabilitation LLCGroup PAC ID 6608285481, 3 clinicians

Practice addresses (Care Compare)

110 N 5TH St
Thermopolis, WY 82443-2734
Phone (307) 921-9071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1133WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryte Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Holistic Pain Management of Wyoming, LLC Past Accepting new patients

Locations

110 N 5th St
Thermopolis, WY 82443
Phone (307) 864-2324

800 Shoshoni St
Thermopolis, WY 82443
Phone (307) 864-3877

Organizations & group practices 2

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1396941076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824431126",
            "telephone_number": "307-864-3877",
            "fax_number": "307-864-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SHOSHONI ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824433216",
            "telephone_number": "307-864-3877",
            "fax_number": "307-864-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313696",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermopolis, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.