Active NPI
Advanced Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Saratoga, WY
National Provider Identifier
1972780187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT-1763
- Legal business name
- ADVANCED PHYSICAL THERAPY, LLC
- Practice address
- 207 E Holly
Saratoga, WY 82331 - Phone
- (307) 326-8223
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley L Ferguson, MPT
- Title
- Owner
- Phone
- (608) 249-6239
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 9632-024 | WI | |
| Physical Therapy Clinic/Center | 261QP2000X | PT-1763 | WY | Primary |
Addresses
Primary practice location
207 E Holly
Saratoga, WY 82331
Mailing address
PO Box 1272
Saratoga, WY 82331-1272
Phone (608) 345-7053
Other practice location 1
3205 E Washington Ave
Suite B
Madison, WI 53704-4332
Phone (608) 249-6239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40358600 | Medicaid | WI | |
| 41570000 | Other | WI | MEDICAID DME |
National Provider Directory
National Provider DirectoryLocations
3205 E Washington Ave
Ste B
Madison, WI 53704
Phone (608) 249-6239
4261 Lien Rd
Ste Q
Madison, WI 53704
Phone (608) 249-6239
1633 W Main St
Ste B
Sun Prairie, WI 53590
Phone (608) 249-6245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1972780187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1272",
"city": "SARATOGA",
"state": "WY",
"postal_code": "823311272",
"telephone_number": "608-345-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E HOLLY",
"city": "SARATOGA",
"state": "WY",
"postal_code": "82331",
"telephone_number": "307-326-8223"
}
],
"practiceLocations": [
{
"address_1": "3205 E Washington Ave",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537044332",
"country_code": "US",
"telephone_number": "608-249-6239",
"fax_number": "608-249-6247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-249-6239",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WI",
"license": "9632-024",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WY",
"license": "PT-1763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40358600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "41570000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saratoga, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.