Clancy Clyde Brown, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1366 Issued in WY

Practice address

124 Petersen Pkwy Ste 1
Thayne, WY 83127-9754

Phone

(307) 883-7878

Fax

(307) 883-7877

NPI assigned

Jun 8, 2011

Last updated

Dec 12, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Concept Solutions

  • Health Service Clinic/Center
  • Windsor, CO
  • NPI 1750095261
  NPD Authorized official
• North Lincoln County Hospital District

  dba Star Valley Medical Center

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  NPD (past)
• North Lincoln County Hospital District

  dba Star Valley Medical Center

  • Family Medicine Physician
  • Afton, WY
  • NPI 1730132523
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1710271630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PETERSEN PKWY STE 1",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "831279754",
            "telephone_number": "307-883-7878",
            "fax_number": "307-883-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PETERSEN PKWY STE 1",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "831279754",
            "telephone_number": "307-883-7878",
            "fax_number": "307-883-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLANCY",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Hospice of Star Valley
• Lisa Ashment
• Julie Balsamo, MS, RDN
• Luke Dewey Brog, O.D.
• Broulim Supermarkets, LLC (Broulim's Pharmacy #4 - Thayne)
• Hayden Glen Datwyler, DPT
• Dawn Davis
• Haylee Eggleston
• Cynthia Endrizal, PHD, RDN
• Martha S Hageman, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.