Josette L Bryngelson, MPT
Individual provider Active NPI Physical Therapist · Rock Springs, WY
NPI 1497832141 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497832141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 855 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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 Partnership
Practice addresses (Care Compare)
911 W Interstate Ave
Suite 12 BLDG 3
Bismarck, ND 58503-0955
Phone (701) 223-8717
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906003304 | ND | Practitioner - Physical Therapist in Private Practice | 4587761952 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 855 | WY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Lights Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Rocky Mountain Sports Medicine Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Seppie Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
| Rocky Mountain Sports Medicine and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Locations
911 W Interstate Ave
Ste 12
Bismarck, ND 58503
Phone (701) 223-8717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 855 | WY | Yes |
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
Other providers in Rock Springs, WY
- William Robert Bridewell
- Sandra Lee Brooks
- Dean I Brown
- Rhonda Brown
- Spencer E Brown
- Shannon Bullard
- Nicole Catherine Burke
- Howard WM Burns
- Susan Kay Burnside
- Jamie Elyse Busenbark
All providers in Rock Springs, WY · Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.