Active NPI
Justin Bridger
- Physical Therapist
- Sheridan, WY
National Provider Identifier
1427609858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1705
- Practice address
- 50 W 3Rd St
Sheridan, WY 82801-3606 - Phone
- (307) 672-2092
- NPI assigned
- Sep 26, 2019
- 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 | PT1705 | WY | Primary |
Addresses
Primary practice location
50 W 3Rd St
Sheridan, WY 82801-3606
Mailing address
50 W 3Rd St
Sheridan, WY 82801-3606
Phone (307) 672-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1427609858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W 3RD ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828013606",
"telephone_number": "307-672-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W 3RD ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828013606",
"telephone_number": "307-672-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGER",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT1705",
"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 Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.