Brady Scott Stokes, PT, DPT, CIDN

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1497 Issued in WY

Practice address

195 Feather Way
Evanston, WY 82930-9352

Phone

(307) 679-4959

NPI assigned

Dec 6, 2018

Sex

Male

Sole proprietor

Yes

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.

• Blacks Fork Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Evanston, WY
  • NPI 1629541982

  Physical Therapist, WY

  Medicare reassignment Care Compare group NPD Authorized official
• High Desert Wound Solutions, LLC

  • Nurse Practitioner
  • Evanston, WY
  • NPI 1053264598

  Physical Therapist

  NPD Authorized official

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blacks Fork Physical Therapy LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2018.

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1972074607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 ALMY ROAD 107",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829308940",
            "telephone_number": "307-679-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309352",
            "telephone_number": "307-679-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3792 Almy Road 107",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829308940",
            "country_code": "US",
            "telephone_number": "307-679-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "BRADY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CIDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Wyoming
• Maria Stephen
• Sterling Provider Group
• Dawn Lynn Stewart, M.D.
• Ann Stoddard
• Martin Fred Stover IV
• Sue J Studt
• Philip Sullivan, M.D.
• Marilyn Carol Edgeworth Tacoma, RN
• Tadge Kanjo General Surgery LLC

• All providers in Evanston, WY
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.