Individual provider Active NPI

Josette L Bryngelson, MPT

  • Physical Therapist
  • Rock Springs, WY
National Provider Identifier
1497832141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
855 Issued in WY
Practice address
416 W Blair Ave
Rock Springs, WY 82901-7113
Phone
(307) 352-3626
Fax
(307) 352-3628
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 855 WY Primary

Addresses

Primary practice location

416 W Blair Ave
Rock Springs, WY 82901-7113

Mailing address

416 W Blair Ave
Rock Springs, WY 82901-7113
Phone (307) 352-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906003304 ND Practitioner - Physical Therapist in Private Practice 4587761952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Lights Physical Therapy Limited PartnershipGroup PAC ID 2163557208, 5 clinicians

Practice addresses (Care Compare)

911 W Interstate Ave
Suite 12 BLDG 3
Bismarck, ND 58503-0955
Phone (701) 223-8717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
855WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Lights Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 28, 2024 Accepting new patients
Rocky Mountain Sports Medicine and Rehabilitation LLC Physical Therapist Past Accepting new patients
Seppie Physical Therapy, LLC Physical Therapist PastSince Dec 29, 2019 Accepting new patients
Rocky Mountain Sports Medicine Rehabilitation LLC Physical Therapist Past Accepting new patients

Locations

911 W Interstate Ave
Ste 12
Bismarck, ND 58503
Phone (701) 223-8717

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497832141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W BLAIR AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829017113",
            "telephone_number": "307-352-3626",
            "fax_number": "307-352-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W BLAIR AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829017113",
            "telephone_number": "307-352-3626",
            "fax_number": "307-352-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNGELSON",
        "first_name": "JOSETTE",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.