Kristopher S Nelson, MPT
Individual provider Active NPI Physical Therapist · Riverton, WY
NPI 1558375006 · NPPES record last updated Nov 9, 2007
Key facts
- NPI
- 1558375006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT975 (WY)
- Practice address
- 2002 West Sunset Dr
Suite 1
Riverton, WY 82501 - Phone
- (307) 856-7021
- Fax
- (307) 856-5546
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fremont Therapy Group Limited Partnership
Practice addresses (Care Compare)
330 Upland Way
Green River, WY 82935-6401
Phone (307) 875-4654
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050805000877 | WY | Practitioner - Physical Therapist in Private Practice | 7719916154 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical & Sports Therapy Green River, LLC | Physical Therapist | Current | Accepting new patients |
| Fremont Therapy Group Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Fremont Therapy Group Limited Partnership | Current |
Accepting new patients | |
| Fremont Therapy Group LLC | Physical Therapist | Current |
Accepting new patients |
Locations
330 Upland Way
Green River, WY 82935
Phone (307) 856-7021
8168 State Highway 789
Lander, WY 82520
Phone (307) 332-5240
2002 W Sunset Dr
Ste 1
Riverton, WY 82501
Phone (307) 856-7021
1401 Gateway Blvd
Unit 2
Rock Springs, WY 82901
Phone (307) 352-3626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT975 | WY | Yes |
Addresses
Primary practice location
2002 West Sunset Dr
Suite 1
Riverton, WY 82501
Mailing address
2002 West Sunset Dr
Suite 1
Riverton, WY 82501
Phone (307) 856-7021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313876 | Other | WY | BLUE CROSS BLUE SHIELD |
Other providers in Riverton, WY
- Rebecca Murray
- My Hearing Centers, LLC
- Cole Robert Nash
- Natural Health Solutions Inc
- Carmen Needham
- New Perspectives Coaching
- Torri L Nicholls
- Laurie Lynn Nicol
- Robert J Niezwaag Jr.
- North Big Horn Hospital District
All providers in Riverton, 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 Nov 9, 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.