Individual provider Active NPI

Devin Orrock, PT, DPT

  • Physical Therapist
  • Evanston, WY
National Provider Identifier
1497313563
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1872 Issued in WY
Practice address
620 W Cheyenne Dr
Evanston, WY 82930-5505
Phone
(307) 789-8860
Fax
(307) 789-8394
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 PT1872 WY Primary

Addresses

Primary practice location

620 W Cheyenne Dr
Evanston, WY 82930-5505

Mailing address

620 W Cheyenne Dr
Evanston, WY 82930-5505
Phone (307) 789-8860

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

State licenses

LicenseStateTypeSpecialty
PT1872WYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1497313563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W CHEYENNE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305505",
            "telephone_number": "307-789-8860",
            "fax_number": "307-789-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W CHEYENNE DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305505",
            "telephone_number": "307-789-8860",
            "fax_number": "307-789-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORROCK",
        "first_name": "DEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT1872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.