Raffie Halajian

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211099 Issued in VA

Practice address

1819 Sheridan Ave
Cody, WY 82414-3886

Phone

(307) 587-9866

Fax

(307) 587-9867

NPI assigned

Aug 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage RehabGroup PAC ID 4587577507, 11 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.

• Advantage Rehab

  • Physical Therapist
  • Cody, WY
  • NPI 1851419832
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1871019802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824141705",
            "telephone_number": "307-587-9866",
            "fax_number": "307-587-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 SHERIDAN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143886",
            "telephone_number": "307-587-9866",
            "fax_number": "307-587-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAJIAN",
        "first_name": "RAFFIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Griebel, MA LPC
• Dianne Marie Grotefend, R.N.
• Guardian Flight LLC
• Lynn Gustin
• H David Taylor
• Cinndie L Hall, OTR/L
• Jackie L. Hall, P.T.
• Thomas Hamann, PT
• Amanda Hamilton, CSW
• Casey Hammond, DPT

• All providers in Cody, WY
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.