Matthew Jay Fuhr, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1539 Issued in WY

Practice address

1211 S Douglas Hwy Ste 100
Gillette, WY 82716

Phone

(307) 670-9191

Fax

(307) 670-9193

NPI assigned

Jun 5, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1578092565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164982",
            "telephone_number": "307-670-9191",
            "fax_number": "307-670-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82716",
            "telephone_number": "307-670-9191",
            "fax_number": "307-670-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Stocktrail Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163582",
            "country_code": "US",
            "telephone_number": "307-688-8000",
            "fax_number": "307-688-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Main St",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WY",
            "postal_code": "827012719",
            "country_code": "US",
            "telephone_number": "307-670-9191",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Brownfield Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826332556",
            "country_code": "US",
            "telephone_number": "307-670-9191",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 S Douglas Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "82716",
            "country_code": "US",
            "telephone_number": "307-670-9191",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUHR",
        "first_name": "MATTHEW",
        "middle_name": "JAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gillette, WY
• Providers in Gillette, 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 15, 2019; 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.