Kyle Graves, PT, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Gillette, WY
NPI 1689145484 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1689145484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 1774 (WY)
- Practice address
- 1211 S Douglas Hwy Ste 100
Gillette, WY 82716-4982 - Phone
- (307) 670-9191
- NPI assigned
- Dec 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hand and Physical Therapy of Wyoming Limited Partnership
Practice addresses (Care Compare)
1211 S Douglas Hwy
Suite 100
Gillette, WY 82716-4982
Phone (307) 670-9191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718001317 | WY | Practitioner - Physical Therapist in Private Practice | 0941535595 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1774 | WY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Therapy of Wyoming LLC | Current |
Accepting new patients | |
| Hand Therapy of Wyoming LLC | Orthopedic | Current |
Accepting new patients |
| Physical Therapy of Wyoming LLC | Orthopedic | Current |
Accepting new patients |
| Hand and Physical Therapy of Wyoming Limited Partnership | Orthopedic | Current |
Accepting new patients |
| Hand and Physical Therapy of Wyoming Limited Partnership | Current |
Accepting new patients |
Locations
1211 S Douglas Hwy
Ste 100
Gillette, WY 82716
Phone (307) 228-1005
1211 S Douglas Hwy
Ste 120
Gillette, WY 82716
Phone (307) 358-9464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1774 | WY | Yes |
Addresses
Primary practice location
1211 S Douglas Hwy Ste 100
Gillette, WY 82716-4982
Mailing address
1211 S Douglas Hwy Ste 100
Gillette, WY 82716-4982
Phone (307) 670-9191
Other providers in Gillette, WY
- Ryan Stephanie Goodman
- Courtney Goodnough
- Amanda Gossens
- Cassidy John Graham
- Brandi Marie Grande-Mathews
- Danielle Gray
- Haley D Gray
- Kristina Marie Gray
- Great Plains Telehealth
- Laurel Elizabeth Green
All providers in Gillette, WY · Orthopedic Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.