NPIMap

Organization Active NPI

Children's Therapy Group, LLC

  • Specialist
  • Cheyenne, WY
National Provider Identifier
1902247315
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
142 Issued in WY
Legal business name
CHILDREN'S THERAPY GROUP, LLC
Practice address
3718 Pioneer Ave
Cheyenne, WY 82001-1246
Phone
(307) 635-2900
NPI assigned
Jul 13, 2013
Last updated
Jul 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

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

Authorized official

Name
Tori J RosenthalNPI 1568590818
Title
Managing Partner
Phone
(307) 635-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 142 WY Primary

Addresses

Primary practice location

3718 Pioneer Ave
Cheyenne, WY 82001-1246

Mailing address

3718 Pioneer Ave
Cheyenne, WY 82001-1246
Phone (307) 635-2900

Other identifiers 2

IdentifierTypeStateIssuer
102279200MedicaidWY
142OtherWYLICENSE

National Provider Directory

National Provider Directory

Locations

1215 E Fox Farm Rd
Unit B
Cheyenne, WY 82007
Phone (307) 635-2900

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373673600000",
    "number": "1902247315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011246",
            "telephone_number": "307-635-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011246",
            "telephone_number": "307-635-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-13",
        "last_updated": "2013-07-13",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "307-635-2900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102279200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "142",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; 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.