Individual provider Active NPI

Ryan Schrock, DPT

  • Neurology Physical Therapist
  • Gillette, WY
National Provider Identifier
1639618671
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT-1246 Issued in WY
Practice address
1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582
Phone
(307) 686-8177
Fax
(307) 686-9484
NPI assigned
Feb 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-1246 WY
Geriatric Physical Therapist 2251G0304X PT-1246 WY
Sports Physical Therapist 2251S0007X PT-1246 WY
Orthopedic Physical Therapist 2251X0800X PT-1246 WY
Neurology Physical Therapist 2251N0400X PT-1246 WY Primary

Addresses

Primary practice location

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

Mailing address

1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582
Phone (307) 686-8177

Other practice location 1

508 Stocktrail Ave Ste B
Gillette, WY 82716-3582
Phone (307) 688-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920000812 WY Practitioner - Physical Therapist in Private Practice 1153672720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
212 Degrees LLCGroup PAC ID 3072648468, 12 clinicians

Practice addresses (Care Compare)

1103 E Boxelder Rd
Suite U
Gillette, WY 82718-5582
Phone (307) 686-8177

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1246WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
212 Degrees, LLC Physical Therapist CurrentSince Jul 5, 2018 Accepting new patients
Davis Outpatient Therapy LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Power Basin Therapy LLC Physical Therapist Past Accepting new patients
Davis Home Health LLC PastSince Mar 27, 2022 Accepting new patients

Locations

1103 E Boxelder Rd
Ste U
Gillette, WY 82718
Phone (307) 363-5801

219 W Main St
Newcastle, WY 82701
Phone (307) 363-5930

Organizations & group practices 4

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1639618671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-686-8177",
            "fax_number": "307-686-9484"
        },
        {
            "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",
            "fax_number": "307-686-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Stocktrail Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163582",
            "country_code": "US",
            "telephone_number": "307-688-8111",
            "fax_number": "307-688-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1246",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WY",
            "license": "PT-1246",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WY",
            "license": "PT-1246",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WY",
            "license": "PT-1246",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WY",
            "license": "PT-1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.