Active NPI
Daniel R Clouston, ORT,CHT
- Physical Therapist
- Gillette, WY
National Provider Identifier
1407804180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1013 E Boxelder Rd
Gillette, WY 82718-5536 - Phone
- (307) 682-4900
- Fax
- (307) 687-7243
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1013 E Boxelder Rd
Gillette, WY 82718-5536
Mailing address
PO Box 7132
Gillette, WY 82717-7132
Phone (307) 682-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1013 E Boxelder Rd
Gillette, WY 82718-5923
Phone (307) 682-4900
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565 | WY | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Gillette, WY
- NPI 1154379998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1407804180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7132",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827177132",
"telephone_number": "307-682-4900",
"fax_number": "307-468-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 E BOXELDER RD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185536",
"telephone_number": "307-682-4900",
"fax_number": "307-687-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSTON",
"first_name": "DANIEL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "ORT,CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.