Individual provider Active NPI

Preslee Jane Mattimoe, DC

  • Chiropractor
  • Rock Springs, WY
National Provider Identifier
1619632635
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2108 Issued in NE
Practice address
1977 Dewar Dr Ste J
Rock Springs, WY 82901-5757
Phone
(307) 382-3228
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2108 NE Primary

Addresses

Primary practice location

1977 Dewar Dr Ste J
Rock Springs, WY 82901-5757

Mailing address

PO Box 1244
Mountain View, WY 82939-1244
Phone (307) 705-3300

Other practice location 1

2100 W Teton Blvd
Green River, WY 82935-6040
Phone (307) 875-1788

Other names 1

  • Preslee Jane Deater Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211110000359 NE Practitioner - Chiropractic 0244629475 Reassigns benefits to 1 organization
I20250619002402 WY Practitioner - Chiropractic 0244629475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physical Therapy, LLCGroup PAC ID 6901906452, 16 clinicians

Practice addresses (Care Compare)

1977 Dewar Dr
Suite J
Rock Springs, WY 82901-5757
Phone (307) 382-3228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2108NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physical Therapy, LLC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients
Travis Bangert DC PC Chiropractor CurrentSince Nov 3, 2021 Accepting new patients

Locations

3121 S 11th St
Lincoln, NE 68502
Phone (402) 328-0028

2100 W Teton Blvd
Green River, WY 82935
Phone (307) 875-1788

1977 Dewar Dr
Ste J
Rock Springs, WY 82901
Phone (307) 382-3228

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1619632635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1244",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "829391244",
            "telephone_number": "307-705-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 DEWAR DR STE J",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015757",
            "telephone_number": "307-382-3228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W Teton Blvd",
            "address_purpose": "LOCATION",
            "city": "Green River",
            "state": "WY",
            "postal_code": "829356040",
            "country_code": "US",
            "telephone_number": "307-875-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTIMOE",
        "first_name": "PRESLEE",
        "middle_name": "JANE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRESLEE",
            "last_name": "DEATER",
            "middle_name": "JANE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.