Individual provider Active NPI

Tonya L Bennett, DPT

  • Physical Therapist
  • Saratoga, WY
National Provider Identifier
1467732305
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60209832 Issued in WA
Practice address
1300 W Bridge Ave
Saratoga, WY 82331-0549
Phone
(307) 326-3169
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 PT60209832 WA Primary

Addresses

Primary practice location

1300 W Bridge Ave
Saratoga, WY 82331-0549

Mailing address

1300 W Bridge Ave
Saratoga, WY 82331-0549
Phone (307) 326-3169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, WA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120808000484 WY Practitioner - Physical Therapist in Private Practice 3274789144 Reassigns benefits to 1 organization
I20160527001744 WA Practitioner - Physical Therapist in Private Practice 3274789144 Reassigns benefits to 1 organization
I20221108002438 TX Practitioner - Physical Therapist in Private Practice 3274789144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

406 S 4TH St
Basin, WY 82401-9500
Phone (307) 568-9399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Healthcare Project CurrentSince Aug 14, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 28, 2022 Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince May 1, 2019 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 7

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1467732305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BRIDGE AVE",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310549",
            "telephone_number": "307-326-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BRIDGE AVE",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823310549",
            "telephone_number": "307-326-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TONYA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-09-06",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60209832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.