NPIMap

Organization Active NPI

Summit Physical Therapy, PC

  • Physical Therapist
  • Green River, WY
National Provider Identifier
1992989529
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSICAL THERAPY, PC
Practice address
541 E Flaming Gorge Way Unit a
Green River, WY 82935-4363
Phone
(307) 875-4654
Fax
(307) 875-4741
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelly L Laws
Title
Office Manager/Billing Specialist
Phone
(307) 875-4654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WY Primary

Addresses

Primary practice location

541 E Flaming Gorge Way Unit a
Green River, WY 82935-4363

Mailing address

541 E Flaming Gorge Way Unit a
Green River, WY 82935-4363
Phone (307) 875-4654

Other names 1

  • Darrin Lee Goyn, M.P.T. Other name

National Provider Directory

National Provider Directory

Locations

541 E Flaming Gorge Way
Unit A
Green River, WY 82935
Phone (307) 875-4654

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992989529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 E FLAMING GORGE WAY UNIT A",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354363",
            "telephone_number": "307-875-4654",
            "fax_number": "307-875-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 E FLAMING GORGE WAY UNIT A",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354363",
            "telephone_number": "307-875-4654",
            "fax_number": "307-875-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING SPECIALIST",
        "authorized_official_telephone_number": "307-875-4654"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darrin Lee Goyn, M.P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.