Active NPI
Tanya L Jernigan, PT, DPT
- Physical Therapist
- Casper, WY
National Provider Identifier
1770162612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1073
- Practice address
- 300 Landmark Dr Ste B
Casper, WY 82609-4233 - Phone
- (307) 472-3327
- Fax
- (307) 472-0297
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1073 | WY | Primary |
Addresses
Primary practice location
300 Landmark Dr Ste B
Casper, WY 82609-4233
Mailing address
300 Landmark Dr Ste B
Casper, WY 82609-4233
Phone (307) 472-3327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1770162612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LANDMARK DR STE B",
"city": "CASPER",
"state": "WY",
"postal_code": "826094233",
"telephone_number": "307-472-3327",
"fax_number": "307-472-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LANDMARK DR STE B",
"city": "CASPER",
"state": "WY",
"postal_code": "826094233",
"telephone_number": "307-472-3327",
"fax_number": "307-472-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "TANYA",
"middle_name": "L",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1073",
"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 Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.