Active Balance Physical Therapy, Llc - Medicare Physical Therapist in Dayton, WY

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Active Balance Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Dayton, Wyoming. Their current practice location is 512 Main St, Dayton, Wyoming. You can reach out to their office (for appointments etc.) via phone at (307) 655-2509.

Active Balance Physical Therapy, Llc is licensed to practice in Wyoming (license number PT-0964) and it also participates in the medicare program. Active Balance Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1780057968.

Contact Information

Active Balance Physical Therapy, Llc
512 Main St,
Dayton, WY 82836-5056
(307) 655-2509
(370) 655-2275

Map and Direction




Healthcare Provider's Profile

Full NameActive Balance Physical Therapy, Llc
TypeFacility
SpecialityPhysical Therapist
Location512 Main St, Dayton, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780057968
  • Provider Enumeration Date: 11/10/2015
  • Last Update Date: 02/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981905080
  • Enrollment ID: O20151215000760

Medical Identifiers

Medical identifiers for Active Balance Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780057968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-0964 (Wyoming)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Balance Physical Therapy, Llc acts as a billing entity for following providers:
Provider NameLisa K Stutzman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558318592
PECOS PAC ID: 4486657855
Enrollment ID: I20151215001248
Provider NameLeah R Mentele
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093376857
PECOS PAC ID: 3870829666
Enrollment ID: I20190801000000
Provider NameMarye Carlson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417732074
PECOS PAC ID: 0749715282
Enrollment ID: I20241121000783

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Balance Physical Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Active Balance Physical Therapy, Llc
Po Box 1064,
Dayton, WY 82836-1064

Ph: (307) 655-2509		Active Balance Physical Therapy, Llc
512 Main St,
Dayton, WY 82836-5056

Ph: (307) 655-2509

Reviews and Comments


Physical Therapist in Dayton, WY

Leah Mentele, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 512 Main St, Dayton, WY 82836
Phone: 307-655-2509    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.