NPIMap

Organization Active NPI

Sky Physical Therapy Inc.

  • Clinic/Center
  • Jackson, WY
National Provider Identifier
1710172796
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
325 Issued in WY
Legal business name
SKY PHYSICAL THERAPY INC.
Practice address
970 W Broadway
Jackson, WY 83001-9475
Phone
(307) 733-7173
NPI assigned
Sep 12, 2007
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Brian Van Hatten, PT, OCSNPI 1336334531
Title
Owner
Phone
(307) 733-7173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 325 WY Primary

Addresses

Primary practice location

970 W Broadway
Jackson, WY 83001-9475

Mailing address

PO Box 9163
Jackson, WY 83002-9163
Phone (307) 733-7173

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1710172796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9163",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029163",
            "telephone_number": "307-733-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019475",
            "telephone_number": "307-733-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "VAN HATTEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-733-7173",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WY",
            "license": "325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.