| Optimal Physical Therapy, Llc | |
|
4120 S Poplar St Casper WY 82601-6104 | |
| (307) 262-7006 | |
| Not Available |
| Full Name | Optimal Physical Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4120 S Poplar St, Casper, Wyoming |
| Authorized Official Name and Position | Jeremy Edward Bieber (OWNER) |
| Authorized Official Contact | 3072627006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Physical Therapy, Llc 4120 S Poplar St Casper WY 82601-6104 Ph: (307) 262-7006 | Optimal Physical Therapy, Llc 4120 S Poplar St Casper WY 82601-6104 Ph: (307) 262-7006 |
| NPI Number | 1962894451 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Medicare PECOS PAC ID | 4880905694 |
|---|---|
| Medicare Enrollment ID | O20150622000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962894451 | NPI | - | NPPES |
| PT-1981 | Other | WY | WYOMING STATE BOARD OF PHYSICAL THERAPY |
| Provider Name | Reagan J Scott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154385748 PECOS PAC ID: 3274518931 Enrollment ID: I20040618000843 |
| Provider Name | Jeremy E Bieber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619931102 PECOS PAC ID: 2668499385 Enrollment ID: I20051101000290 |
| Provider Name | Deidra N Cottenoir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225215635 PECOS PAC ID: 6507939139 Enrollment ID: I20080715000838 |
| Provider Name | Dustin Alan Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356638167 PECOS PAC ID: 7214105758 Enrollment ID: I20110727000553 |
| Provider Name | Lauren Michelle Hiipakka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063884781 PECOS PAC ID: 3870891559 Enrollment ID: I20160413000769 |
| Provider Name | Erik Hiipakka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457804825 PECOS PAC ID: 2668769522 Enrollment ID: I20160921001813 |
| Provider Name | Elyse Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790848802 PECOS PAC ID: 1759434517 Enrollment ID: I20180807003009 |
| Provider Name | Jacob Bratton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134786262 PECOS PAC ID: 3476880774 Enrollment ID: I20190808003853 |
| Provider Name | Shelby Lee Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699387027 PECOS PAC ID: 6103244371 Enrollment ID: I20200921001345 |
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