NPIMap

Organization Active NPI

Nancy Robertson Therapy

  • Physical Therapy Clinic/Center
  • Casper, WY
National Provider Identifier
1730690504
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0378 Issued in WY
Legal business name
NANCY ROBERTSON THERAPY
Practice address
128 West Collins Drive
Casper, WY 82601
Phone
(307) 333-2943
Fax
(307) 333-2908
NPI assigned
Oct 19, 2017
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Mrs. Nancy A Robertson, PT, MSPT, ATCNPI 1295737807
Title
Owner, P.T.
Phone
(307) 333-2943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0378 WY Primary

Addresses

Primary practice location

128 West Collins Drive
Casper, WY 82601

Mailing address

128 West Collins Drive
Casper, WY 82601
Phone (307) 333-2943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127002259 WY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991062143 Receives reassigned benefits from 5 practitioners
Practice locations: Casper, WY

National Provider Directory

National Provider Directory

Locations

128 W Collins Dr
Casper, WY 82601
Phone (307) 333-2943

2121 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 333-2943

Practitioners & affiliated clinicians

Practitioners 5

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1730690504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WEST COLLINS DRIVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-333-2943",
            "fax_number": "307-333-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WEST COLLINS DRIVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-333-2943",
            "fax_number": "307-333-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY ROBERTSON THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, P.T.",
        "authorized_official_telephone_number": "307-333-2943",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MSPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WY",
            "license": "0378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.