Michael S Wanbaugh, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-506 Issued in WY

Practice address

4070 Plaza Dr Ste 107
Casper, WY 82604-4296

Phone

(307) 472-8871

Fax

(307) 235-6262

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Casper Orthopaedic Associates PCGroup PAC ID 9436148624, shared by 4 NPIs, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Casper Orthopaedic Associates PC

  dba Casper Orthopedics Therapy Center

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1952820789

  Physical Therapist

  Medicare reassignment NPD
• Casper Orthopaedic Associates PC

  dba Casper Orthopedics

  • Orthopaedic Surgery Physician
  • Casper, WY
  • NPI 1962494864

  Physical Therapist

  Medicare reassignment NPD
• Casper Orthopaedic Associates PC

  • Durable Medical Equipment & Medical Supplies
  • Douglas, WY
  • NPI 1912622721
  NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1508868100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CENTENNIAL HILLS BLVD STE B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 PLAZA DR STE 107",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826044296",
            "telephone_number": "307-472-8871",
            "fax_number": "307-235-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Centennial Hills Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826093265",
            "country_code": "US",
            "telephone_number": "307-265-7205",
            "fax_number": "307-235-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANBAUGH",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120359200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00208956",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "313189",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.