Individual provider Active NPI

Bryan Avery, PT

  • Physical Therapist
  • Casper, WY
National Provider Identifier
1881977486
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1241 Issued in WY
Practice address
441 Landmark Dr Ste 230
Casper, WY 82609-4567
Phone
(307) 337-3200
Fax
(307) 448-3046
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1241 WY Primary

Addresses

Primary practice location

441 Landmark Dr Ste 230
Casper, WY 82609-4567

Mailing address

441 Landmark Dr Ste 230
Casper, WY 82609-4567
Phone (307) 337-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221001067 WY Practitioner - Physical Therapist in Private Practice 9335307388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathfinder Physical Therapy LLCGroup PAC ID 9234407495, 5 clinicians

Practice addresses (Care Compare)

441 Landmark Dr
Suite 230
Casper, WY 82609-4567
Phone (307) 337-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder Physical Therapy, LLC CurrentSince May 25, 2017 Accepting new patients

Locations

441 Landmark Dr
Ste 230
Casper, WY 82609
Phone (307) 337-3200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1881977486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 LANDMARK DR STE 230",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094567",
            "telephone_number": "307-337-3200",
            "fax_number": "307-448-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 LANDMARK DR STE 230",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094567",
            "telephone_number": "307-337-3200",
            "fax_number": "307-448-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "BRYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT1241",
            "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 Jan 8, 2025; 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.