Shelby Lee Groskreutz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1981 Issued in WY

Practice address

4120 S Poplar St
Casper, WY 82601-6104

Phone

(307) 333-2873

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

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.

• Optimal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1962894451
  Medicare reassignment
• Optimal Physical Therapy, LLC

  • Clinical Social Worker
  • Casper, WY
  • NPI 1063340891
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1699387027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016104",
            "telephone_number": "307-333-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016104",
            "telephone_number": "307-333-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSKREUTZ",
        "first_name": "SHELBY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Griner, FNP-C
• Michelle Grissom, MS, LPC
• Maggie M Grooms, PHARM.D., R.PH.
• Sarah G Grooms, MD
• Breck S Groskreutz, PA-C
• Bengt Josephson Grua, MD
• Denice Grubb, H.I.S.
• Robert Steven Grubb, H.I.S.
• Megan Grube
• Caleigh Grundhoffer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.