Individual provider Active NPI

Elizabeth A Kauffman, M.P.T

  • Physical Therapist
  • Lander, WY
National Provider Identifier
1740625763
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-0743 Issued in WY
Practice address
307 Main St
Lander, WY 82520-3101
Phone
(307) 332-2715
Fax
(307) 332-0314
NPI assigned
May 3, 2013
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-0743 WY Primary

Addresses

Primary practice location

307 Main St
Lander, WY 82520-3101

Mailing address

307 Main St
Lander, WY 82520-3101
Phone (307) 332-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050715000754 WY Practitioner - Physical Therapist in Private Practice 3577599075 Reassigns benefits to 1 organization
I20200821001270 TX Practitioner - Physical Therapist in Private Practice 3577599075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sinks Canyon Therapies IncGroup PAC ID 6800022716, 7 clinicians

Practice addresses (Care Compare)

634 Main St
Lander, WY 82520-3034
Phone (307) 332-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-0743WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wind River Family & Community Healthc Care CurrentSince May 2, 2020 Accepting new patients
Sinks Canyon Therapies Inc Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Osback Pharmaceuticals Inc Past Accepting new patients
Sinks Canyon Therapies Inc Past Accepting new patients

Locations

14 Great Plains Rd
Arapahoe, WY 82510

307 Main St
Lander, WY 82520
Phone (307) 332-2715

634 Main St
Lander, WY 82520
Phone (307) 332-2270

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1740625763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-0743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.