Michael Harvey Beus
Individual provider Active NPI Physical Therapist · Afton, WY
NPI 1982926390 · NPPES record last updated Feb 26, 2010
Key facts
- NPI
- 1982926390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1312 (WY)
- Practice address
- 121 N Washington
Afton, WY 83110 - Phone
- (307) 885-4278
- Fax
- (307) 885-4270
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Lincoln County Hospital District
Practice addresses (Care Compare)
10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100322000497 | WY | Practitioner - Physical Therapist in Private Practice | 3072648666 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1312 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Lincoln County Hospital District | Current |
Accepting new patients | |
| North Lincoln County Hospital District | Current |
Accepting new patients |
Locations
901 Adams St
Afton, WY 83110
Phone (307) 885-5800
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
67 Doc Perkes
Afton, WY 83110
Phone (307) 883-7878
124 Petersen Pkwy
Thayne, WY 83127
Phone (307) 883-7878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1312 | WY | Yes |
Addresses
Primary practice location
121 N Washington
Afton, WY 83110
Mailing address
PO Box 1745
Afton, WY 83110-1745
Phone (307) 885-4278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720186497 | Other | WY | GROUP NPI |
Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.