Individual provider Active NPI

Darrin Lee Goyn, MPT

  • Physical Therapist
  • Green River, WY
National Provider Identifier
1891883203
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT872 Issued in WY
Practice address
541A East Flaming Gorge Way
Green River, WY 82935
Phone
(307) 875-4654
Fax
(307) 875-4741
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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 PT872 WY Primary

Addresses

Primary practice location

541A East Flaming Gorge Way
Green River, WY 82935

Mailing address

541A East Flaming Gorge Way
Green River, WY 82935
Phone (307) 875-4654

Other identifiers 1

IdentifierTypeStateIssuer
05913OtherWYBCBS

Other names 1

  • Mrs. Shelly L Laws Other name

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

OrganizationSpecialtyStatusNew patients
Hand and Physical Therapy of Wyoming Limited Partnership CurrentSince Dec 1, 2024 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Summit Physical & Sports Therapy Green River, LLC Physical Therapist Past Accepting new patients

Locations

3243 Talon Dr
Ste 100
Casper, WY 82604
Phone (307) 318-0631

1211 S Douglas Hwy
Ste 100
Gillette, WY 82716
Phone (307) 228-1005

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1891883203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541A EAST FLAMING GORGE WAY",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "82935",
            "telephone_number": "307-875-4654",
            "fax_number": "307-875-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541A EAST FLAMING GORGE WAY",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "82935",
            "telephone_number": "307-875-4654",
            "fax_number": "307-875-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYN",
        "first_name": "DARRIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05913",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "LAWS",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green River, WY

Sources for this page

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