Individual provider Active NPI

Aidan Amtmann

  • Physical Therapist
  • Cody, WY
National Provider Identifier
1912622606
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
544 Yellowstone Ave
Cody, WY 82414-9300
Phone
(307) 587-9789
Fax
(307) 587-9787
NPI assigned
Oct 5, 2022
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 Primary

Addresses

Primary practice location

544 Yellowstone Ave
Cody, WY 82414-9300

Mailing address

544 Yellowstone Ave
Cody, WY 82414-9300
Phone (307) 587-9789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123000955 WY Practitioner - Physical Therapist in Private Practice 6204204217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Hand Therapy, P.C. CurrentSince Feb 24, 2025 Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince Oct 1, 2022 Accepting new patients

Locations

544 Yellowstone Ave
Cody, WY 82414
Phone (307) 587-9789

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1912622606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149300",
            "telephone_number": "307-587-9789",
            "fax_number": "307-587-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149300",
            "telephone_number": "307-587-9789",
            "fax_number": "307-587-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMTMANN",
        "first_name": "AIDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.