Brett Kautzmann, PT, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-2096 Issued in WY

Practice address

4155 Legion LN # 1&2
Casper, WY 82609-1946

Phone

(307) 262-7923

NPI assigned

Aug 17, 2021

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyo Sports Therapy, LLC

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1316711682
  NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1457027781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 COTTON CREEK PL",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043659",
            "telephone_number": "307-262-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 LEGION LN # 1&2",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826091946",
            "telephone_number": "307-262-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 W Collins Dr",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012448",
            "country_code": "US",
            "telephone_number": "307-333-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUTZMANN",
        "first_name": "BRETT",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WY",
            "license": "PT-2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Katoozi, OD
• Katrae MJ LLC (Wind City Eye Care)
• Kent Douglas Katz, MD
• Joshua James Kaufman, MA, LPC
• Benjamin C Kautza, M.D.
• Kaye Reed
• Sara Keate
• Justin Robert Keeler, D.C.
• Leslie Ann Keeler, RN
• Stephanie Marie Keeney, PHYSICIAN ASSISTANT

• Physical Therapy Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapy Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.