Devery Brianne Huddleston, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2072 Issued in WY

Practice address

1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582

Phone

(307) 686-8177

NPI assigned

Jun 3, 2021

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Devery Gallegos Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eric D Ewig Physical Therapy IncGroup PAC ID 4688634454, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deveryh@rehabsolutionswy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric D Ewig Physical Therapy Inc

  • Physical Therapist
  • Napa, CA
  • NPI 1811931892

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Joseph Boehm, PT

  • Physical Therapist
  • Los Osos, CA
  • NPI 1740273606
  Medicare reassignment
• Joseph Boehm, P.T.

  dba Los Osos Physical Therapy

  • Physical Therapist
  • Los Osos, CA
  • NPI 1902899875

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1619543246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 CLARION DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827187581",
            "telephone_number": "707-815-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-686-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "DEVERY",
        "middle_name": "BRIANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT-2072",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deveryh@rehabsolutionswy.com",
            "affiliation": "N",
            "endpointDescription": "Email address connected to a secure network. Used to communicate with members of the healthcare team and administrative staff.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1103 E Boxelder Rd Ste U",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827185582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEVERY",
            "last_name": "GALLEGOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Houmes, MD
• Jerrica L Huber, DPT
• Kris Huber
• Jessica Lee Huckins, RNFA
• Marty Ray Huckins, CAP, CCDC III, ICADC
• Bradley Robert Hudson, LMFT
• Michael K. Hughes, O. D.
• Carly Jo Hunter, MS, LPC, NCC
• Scott R Hunter, BA DC
• Crystal Huntrods, PHARM.D.

• 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 Jun 3, 2021; 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.