K. Boo Physical Therapy and Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

K. BOO PHYSICAL THERAPY AND PERFORMANCE LLC

Practice address

1527 Shilo Springs Rd
Laramie, WY 82070-8599

Phone

(785) 202-1592

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Boo, DPTNPI 1295117364

Title

DPT/Owner

Phone

(785) 202-1592

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Boo

  • Physical Therapist
  • Laramie, WY
  • NPI 1295117364
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1669235701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 N 22ND ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 SHILO SPRINGS RD",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708599",
            "telephone_number": "785-202-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. BOO PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BOO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "785-202-1592",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Casey James Jurczewsky, DDS
• Tessa Laree Kailey
• Stephen B Kaiser, PT
• Beth J Kamber, RD
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• Physical Therapy Clinic/Center in Laramie, WY
• Providers in Laramie, WY by specialty
• Physical Therapy Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.