Kyle R Stauffer, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2547 Issued in WY

Practice address

1100 W Wilson St Ste 8
Pinedale, WY 82941-5400

Phone

(307) 367-3452

Fax

(307) 367-3455

NPI assigned

Aug 1, 2025

Last updated

Aug 8, 2025By 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

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Pines Physical Therapy Limited PartnershipGroup PAC ID 7416478573, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Four Pines Physical Therapy Limited Partnership

  • Physical Therapist
  • Jackson, WY
  • NPI 1578373890
  Medicare reassignment Care Compare group NPD
• Four Pines Physical Therapy PC

  • Physical Therapist
  • Jackson, WY
  • NPI 1013090539
  NPD

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1740164854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8467",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830028467",
            "telephone_number": "307-367-3452",
            "fax_number": "307-367-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W WILSON ST STE 8",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829415400",
            "telephone_number": "307-367-3452",
            "fax_number": "307-367-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "KYLE",
        "middle_name": "R",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ruth Scott
• Jilda Senatore
• Jace-Anne C Sharp, DPT
• Eric Shultz, D. M. D
• Mary L. Simbarcelos, MS, LPC
• Adam Michael Stucki, PHARM.D.
• Sublette Center (Sublette Center Hospice)
• Sublette County Hospital District (Pinedale Medical Clinic)
• Sublette County Hospital District (Sublette Ambulance)
• Sublette County Hospital District (Sublette County Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.