Active NPI
Darrin Lee Goyn, MPT
- Physical Therapist
- Green River, WY
National Provider Identifier
1891883203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT872
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05913 | Other | WY | BCBS |
Other names 1
- Mrs. Shelly L Laws
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 |
|---|---|---|---|
| Hand and Physical Therapy of Wyoming Limited Partnership | Current | Accepting new patients | |
| Hand and Physical Therapy of Wyoming Limited Partnership | Physical Therapist | Current | 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.
-
- Occupational Therapist
- Gillette, WY
- NPI 1922827922
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Spearfish, SD
- NPI 1144187162
-
dba Summit Physical & Sports Therapy
- Physical Therapist
- Green River, WY
- NPI 1245608603
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.