Summer L Ashworth, DPT,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2094 Issued in WY

Practice address

3905 E Grand Ave Ste 200
Laramie, WY 82070-5189

Phone

(307) 742-2082

Fax

(307) 742-2075

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summer L Halle Former name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Injury Clinic of Laramie PCGroup PAC ID 0941387997, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Spine & Injury Clinic of Laramie, PC

  • Chiropractor
  • Laramie, WY
  • NPI 1902097637

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1750057865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 E GRAND AVE STE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705189",
            "telephone_number": "307-742-2082",
            "fax_number": "307-742-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 E GRAND AVE STE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705189",
            "telephone_number": "307-742-2082",
            "fax_number": "307-742-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "SUMMER",
        "middle_name": "L",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT-2094",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "HALLE",
            "middle_name": "L",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.