Back Country Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1552 Issued in WY

Legal business name

BACK COUNTRY PHYSICAL THERAPY, LLC

Doing business as

Back Country Physical Therapy

Practice address

1262 W 5TH St
Sheridan, WY 82801-2702

Phone

(307) 336-7774

Fax

(307) 202-4643

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brett A Jenks, PT, DPT, CERT. MDT

Title

Owner/Physical Therapist

Phone

(307) 336-7774

Specialties & licenses 1

Addresses

Other names 1

• Back Country Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1558742981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 COFFEEN AVE.",
            "address_2": "STE 101 PMB 286",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017004",
            "telephone_number": "307-336-7774",
            "fax_number": "307-202-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012702",
            "telephone_number": "307-336-7774",
            "fax_number": "307-202-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK COUNTRY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "307-336-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CERT. MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Country Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.