Active NPI
Ryan Schrock, DPT
- Neurology Physical Therapist
- Gillette, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT-1246
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 0
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1246 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 212 Degrees, LLC | Physical Therapist | Current | Accepting new patients |
| Davis Outpatient Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Power Basin Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Davis Home Health LLC | Past | 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.
-
- Physical Therapist
- Gillette, WY
- NPI 1154653400
-
- Physical Therapist
- Gillette, WY
- NPI 1972268431
-
- Home Health Agency
- Gillette, WY
- NPI 1336661933
-
- Physical Therapist
- Eagle, ID
- NPI 1982580452
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.