Homestead Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HOMESTEAD PHYSICAL THERAPY PC

Practice address

1575 N 4TH St
Suite 101
Laramie, WY 82072-2091

Phone

(307) 745-5434

Fax

(307) 745-5484

NPI assigned

Aug 24, 2007

Last updated

Nov 27, 2007By 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

Luann Herkstroeter, P.T.NPI 1619963014

Title

Owner/President

Phone

(307) 745-5434

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 4

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.

• Luann S Herkstroeter, P.T.

  • Physical Therapist
  • Laramie, WY
  • NPI 1619963014
  Medicare reassignment NPD Authorized official
• James Boo

  • Physical Therapist
  • Laramie, WY
  • NPI 1295117364
  Medicare reassignment
• Joshua Hayden Willoughby

  • Physical Therapy Assistant
  • Laramie, WY
  • NPI 1962292672
  NPD
• Merek C Deacon, P.T.

  • Physical Therapist
  • Laramie, WY
  • NPI 1619171378
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1699968404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820731146",
            "telephone_number": "307-745-5434",
            "fax_number": "307-745-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 4TH ST",
            "address_2": "SUITE 101",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722091",
            "telephone_number": "307-745-5434",
            "fax_number": "307-745-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HERKSTROETER",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "307-745-5434",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DC9388",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01248/001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaycee Holloway, PCSW
• Whitney Lane Holmen, RN
• Kristine Holt
• William Holt, LPC
• Laurie Rachael Homer, M.S., N.C.C., P.P.C.
• Kimberly Hoover
• John Horberg, M.D
• Meckenzie Horberg
• Holly Horpestad, FNP-C
• Nathaniel Orion Horve

• 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 Nov 27, 2007; 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.