Raustin Josef Grandy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2227 Issued in WY

Practice address

1951 Bluegrass Cir
Cheyenne, WY 82009-7355

Phone

(307) 773-8533

Fax

(307) 635-7578

NPI assigned

Jan 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Therapy Group Limited PartnershipGroup PAC ID 4284042649, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.03 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

76.76

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fremont Therapy Group Limited Partnership

  • Physical Therapist
  • Riverton, WY
  • NPI 1487244042
  Medicare reassignment Care Compare group NPD
• Champlin Physical Therapy, LLC

  dba Physical Therapy Center

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1922288646
  Medicare reassignment
• Fremont Therapy Group Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Green River, WY
  • NPI 1649165317
  NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1649984097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-773-8533",
            "fax_number": "307-635-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-773-8533",
            "fax_number": "307-635-7578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Upland Way",
            "address_purpose": "LOCATION",
            "city": "Green River",
            "state": "WY",
            "postal_code": "829356401",
            "country_code": "US",
            "telephone_number": "307-875-4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDY",
        "first_name": "RAUSTIN",
        "middle_name": "JOSEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1951 Bluegrass Cir",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820097355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elle Gouso
• Grace Home Hospice Inc. (Grace Home Hospice)
• Uriah Gracia-Salinas, DPT
• Trent Graff
• Joyce Louise Graham, MS
• Granite SNF Operations, LLC (Granite Rehabilitation and Wellness)
• Granite Springs Dentistry, LLC
• Sheriedan Elizabeth Grannan, FNP-C
• Deanna Grant, RBT
• Harley Grant

• Physical Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.