Jim Wheeler Physical Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT948 Issued in WY

Legal business name

JIM WHEELER PHYSICAL THERAPY SERVICES, LLC

Doing business as

Physcial Therapy of Star Valley, LLC

Practice address

124 Petersen Parkway
Thayne, WY 83127-0954

Phone

(307) 883-7878

Fax

(307) 883-7877

NPI assigned

Jul 4, 2006

Last updated

Jan 30, 2008By 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

Mr. Daniel Dean Jeske, MPTNPI 1801816897

Title

Owner Physical Therapist

Phone

(307) 883-7878

Specialties & licenses 1

Addresses

Other names 1

• Physcial Therapy of Star Valley, LLC Doing business as

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.

• Daniel Dean Jeske, PT

  • Physical Therapist
  • Thayne, WY
  • NPI 1801816897
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1982634879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "831270932",
            "telephone_number": "307-883-7878",
            "fax_number": "307-883-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PETERSEN PARKWAY",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "831270954",
            "telephone_number": "307-883-7878",
            "fax_number": "307-883-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM WHEELER PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "JESKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "307-883-7878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physcial Therapy of Star Valley, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• High Country Behavioral Health
• Eric Boone Hodges, OTR/L
• Independent Family Practice
• Helen Jenkins
• Daniel Dean Jeske, PT
• David Matthew Johnson, MSPT
• Mark W Johnson, DMD
• Donald J Kirk, M.D.
• Sean Elliott Knighton, APRN
• Jennifer Suzanne Knowlton, LPC, LAT

• Physical Therapist in Thayne, WY
• Providers in Thayne, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.