Wyoming Physiatry Inc

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

6809A Issued in WY

Legal business name

WYOMING PHYSIATRY INC

Practice address

5715 E 2ND St
Casper, WY 82609-4322

Phone

(307) 268-7731

NPI assigned

Mar 7, 2008

Last updated

Nov 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Thomas Swan, M.D.NPI 1154357267

Title

M.D.

Phone

(307) 265-7731

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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.

• Ryan Thomas Swan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Casper, WY
  • NPI 1154357267
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322092800000",
    "number": "1942470737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094322",
            "telephone_number": "307-268-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING PHYSIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2011-11-24",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "307-265-7731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "WY",
            "license": "6809A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "W21781",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "126432000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118696500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Casper, WY
• Providers in Casper, WY by specialty
• Rehabilitation Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; 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.