Pamela Mills Physical Therapist LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

612 Issued in WY

Legal business name

PAMELA MILLS PHYSICAL THERAPIST LLC

Doing business as

Wildflower Health Clinic

Practice address

128 S Washington St
Casper, WY 82601-2739

Phone

(307) 265-2461

Fax

(307) 265-2492

NPI assigned

May 16, 2008

Last updated

May 16, 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

Ms. Pamela J Mills, PHYSICAL THERAPISTNPI 1467526392

Title

Owner

Phone

(307) 265-2461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wildflower Health Clinic Doing business as

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.

• Pamela J Mills, PT

  • Physical Therapist
  • Casper, WY
  • NPI 1467526392
  Authorized official Same address or phone

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1982861142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S WASHINGTON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012739",
            "telephone_number": "307-265-2461",
            "fax_number": "307-265-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S WASHINGTON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012739",
            "telephone_number": "307-265-2461",
            "fax_number": "307-265-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MILLS PHYSICAL THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-265-2461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WY",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1210513",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapy Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.