Wind River Physical Therapy LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

WY-1202 Issued in WY

Legal business name

WIND RIVER PHYSICAL THERAPY LLC

Practice address

150 Lincoln St
Lander, WY 82520-2846

Phone

(307) 335-5188

Fax

(307) 333-0600

NPI assigned

Jul 18, 2014

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ty Nathaniel Francis, MPTNPI 1538384847

Title

Owner

Phone

(307) 335-5188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ty Francis, PT

  • Physical Therapist
  • Lander, WY
  • NPI 1538384847
  Medicare reassignment Care Compare group Authorized official
• Tanner M Hoffmann, DPT

  • Physical Therapist
  • Wimberley, TX
  • NPI 1023597549

  WY

  Medicare reassignment Care Compare group NPD
• Erin Lee Smiley, DPT

  • Physical Therapist
  • Burlington, WA
  • NPI 1538485008

  WY

  Medicare reassignment Care Compare group NPD
• Ellen K Holzmann, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Lander, WY
  • NPI 1598003022
  NPD (past)
• Susanne Scheidemantel

  • Prevention Professional
  • Lander, WY
  • NPI 1366989428
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1548677701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 NORTH 2ND STREET",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203033",
            "telephone_number": "307-335-5188",
            "fax_number": "307-333-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LINCOLN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202846",
            "telephone_number": "307-335-5188",
            "fax_number": "307-333-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-335-5188",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "WY-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wind River Ear, Nose & Throat, Inc
• Wind River Family & Community Health Care
• Wind River Hearing Services
• Wind River Heart Clinic LLC
• Wind River Home Oxygen-LLC
• Wind River Radiology P C
• Wind River Wraparound
• Melissa Marie Winn
• Wise Psychological Services, LLC
• Cheryl Annette Wise, PH.D.

• Specialist in Lander, WY
• Providers in Lander, WY by specialty
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.