Active NPI
Joan M Kulow, PT
- Physical Therapist
- Arapaho, WY
National Provider Identifier
1831622596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-0509
- Practice address
- 14 Great Plains Road
Arapaho, WY 82510-0014 - Phone
- (307) 856-9281
- Fax
- (307) 463-4489
- NPI assigned
- Apr 9, 2017
- Last updated
- Jul 17, 2020
- 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 | PT-0509 | WY | Primary |
Addresses
Primary practice location
14 Great Plains Road
Arapaho, WY 82510-0014
Mailing address
1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Phone (307) 864-5591
Other practice location 1
1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Phone (307) 864-5591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153364900 | Medicaid | WY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osback Pharmaceuticals Inc | Past | Accepting new patients | |
| Sinks Canyon Therapies Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Lander, WY
- NPI 1891828752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1831622596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 CANYON HILLS RD",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433137",
"telephone_number": "307-864-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 GREAT PLAINS ROAD",
"city": "ARAPAHO",
"state": "WY",
"postal_code": "825100014",
"telephone_number": "307-856-9281",
"fax_number": "307-463-4489"
}
],
"practiceLocations": [
{
"address_1": "1210 Canyon Hills Rd",
"address_purpose": "LOCATION",
"city": "Thermopolis",
"state": "WY",
"postal_code": "824433137",
"country_code": "US",
"telephone_number": "307-864-5591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULOW",
"first_name": "JOAN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-0509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153364900",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arapaho, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.