Individual provider Active NPI

Krista Lane Lausen, PT

  • Physical Therapist
  • Buffalo, WY
National Provider Identifier
1649597642
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-0676 Issued in WY
Practice address
509 Fort St Ste B
Buffalo, WY 82834-1867
Phone
(307) 684-8623
Fax
(307) 684-8623
NPI assigned
Apr 29, 2010
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-0676 WY Primary

Addresses

Primary practice location

509 Fort St Ste B
Buffalo, WY 82834-1867

Mailing address

164 W Hart St
Buffalo, WY 82834-1738
Phone (307) 684-8623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000874 WY Practitioner - Physical Therapist in Private Practice 0244360980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherwood Group IncGroup PAC ID 8426950767, 15 clinicians

Practice addresses (Care Compare)

164 W Hart St
Buffalo Physical Therapy
Buffalo, WY 82834-1738
Phone (307) 672-2092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwood Group, Inc Physical Therapist CurrentSince May 14, 2010 Accepting new patients
Sherwood Group, Inc Physical Therapist Past Accepting new patients

Locations

164 W Hart St
Buffalo, WY 82834
Phone (307) 672-2092

50 W 3rd St
Sheridan, WY 82801
Phone (307) 672-2092

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1649597642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W HART ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341738",
            "telephone_number": "307-684-8623",
            "fax_number": "307-684-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FORT ST STE B",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341867",
            "telephone_number": "307-684-8623",
            "fax_number": "307-684-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUSEN",
        "first_name": "KRISTA",
        "middle_name": "LANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-0676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.