NPIMap

Organization Active NPI

Rocky Mountain Sports Medicine Rehabilitation LLC

  • Physical Therapist
  • Rock Springs, WY
National Provider Identifier
1821205923
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROCKY MOUNTAIN SPORTS MEDICINE REHABILITATION LLC
Practice address
416 W Blair Ave
Rock Springs, WY 82901-7113
Phone
(307) 352-3626
Fax
(307) 352-3628
NPI assigned
May 17, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mrs. Jaelyn A Knudson
Title
Office Administrator
Phone
(307) 352-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

416 W Blair Ave
Rock Springs, WY 82901-7113

Mailing address

PO Box 932
Thayne, WY 83127-0932
Phone (307) 883-4996

National Provider Directory

National Provider Directory

Locations

416 W Blair Ave
Rock Springs, WY 82901
Phone (307) 352-3626

Practitioners & affiliated clinicians

Practitioners 7

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1821205923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "831270932",
            "telephone_number": "307-883-4996",
            "fax_number": "307-352-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W BLAIR AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829017113",
            "telephone_number": "307-352-3626",
            "fax_number": "307-352-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN SPORTS MEDICINE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "JAELYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "307-352-3626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.