Active NPI
Marissa A Wooden, PT
- Physical Therapist
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1726
- Practice address
- 234 E 1St St Ste 10
Casper, WY 82601-2516 - Phone
- (307) 235-3910
- NPI assigned
- Jun 23, 2017
- Last updated
- Apr 27, 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 | PT-1726 | WY | Primary |
Addresses
Primary practice location
234 E 1St St Ste 10
Casper, WY 82601-2516
Mailing address
1541 Centennial CT
Casper, WY 82609-7304
Other practice location 1
1541 Centennial Ct
Casper, WY 82609-7304
Phone (307) 235-3910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
925 W Birch St
Glenrock, WY 82637-5079
Phone (307) 235-3910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1726 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind City Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Wind City Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
1541 Centennial Ct
Casper, WY 82609
Phone 30723539104151
234 E 1st St
Ste 10
Casper, WY 82601
Phone (307) 266-2891
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.
-
- Physical Therapist
- Casper, WY
- NPI 1093767121
-
- Physical Therapist
- Casper, WY
- NPI 1114501954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1871013482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 CENTENNIAL CT",
"city": "CASPER",
"state": "WY",
"postal_code": "826097304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E 1ST ST STE 10",
"city": "CASPER",
"state": "WY",
"postal_code": "826012516",
"telephone_number": "307-235-3910"
}
],
"practiceLocations": [
{
"address_1": "1541 Centennial Ct",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826097304",
"country_code": "US",
"telephone_number": "307-235-3910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODEN",
"first_name": "MARISSA",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-1726",
"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 27, 2021; 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.