Active NPI
Michael Ross Svejcar, MPT
- Physical Therapist
- Green River, WY
National Provider Identifier
1679702518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1099
- Practice address
- 140 Commerce Drive
Green River, WY 82935 - Phone
- (307) 875-8492
- Fax
- (307) 875-8492
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1099 | WY | Primary |
Addresses
Primary practice location
140 Commerce Drive
Green River, WY 82935
Mailing address
PO Box 1497
Green River, WY 82935-1497
Phone (307) 875-8492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099 | WY | MD | Counselor |
| PT 1099 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1679702518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1497",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "829351497",
"telephone_number": "307-875-8492",
"fax_number": "307-875-7389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 COMMERCE DRIVE",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "82935",
"telephone_number": "307-875-8492",
"fax_number": "307-875-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVEJCAR",
"first_name": "MICHAEL",
"middle_name": "ROSS",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT 1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green River, WY
- Kelli Stover, PTA
- Hayley Marie Strauss, PT
- Cara Elizabeth Straw, M.S. CCC/SLP
- Summit Physical & Sports Therapy Green River, LLC (Summit Physical & Sports Therapy)
- Summit Physical Therapy, PC
- Sweetwater County Child Developmental Center
- Sweetwater Radiology, PC
- Tanner Family Dentistry, Devin K. Tanner DDS, LLC
- Devin K. Tanner, DDS
- Ann H Thedieck, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.