| Dr Nicholas Henry Hastert, PT, DPT | |
|
330 Upland Way, Green River, WY 82935 | |
| (307) 875-4654 | |
| Not Available |
| Full Name | Dr Nicholas Henry Hastert |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 330 Upland Way, Green River, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306376975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1716 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fremont Therapy Group Limited Partnership | 4284042649 | 23 |
| Provider Name | Fremont Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477568046 PECOS PAC ID: 5092798488 Enrollment ID: O20040608000562 |
| Provider Name | Fremont Therapy Group Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487244042 PECOS PAC ID: 4284042649 Enrollment ID: O20210423000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Henry Hastert, PT, DPT 210 Summerview Dr, Green River, WY 82935-5454 Ph: (307) 871-4922 | Dr Nicholas Henry Hastert, PT, DPT 330 Upland Way, Green River, WY 82935 Ph: (307) 875-4654 |
Jacob Flores, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 Wilkes Dr Ste 17, Green River, WY 82935 Phone: 307-875-1788 Fax: 307-875-8817 | |
Summit Physical & Sports Therapy Green River, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 E Flaming Gorge Way, Unit A, Green River, WY 82935 Phone: 307-875-4654 Fax: 307-875-4741 | |
Castle Rock Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Uinta Dr, Green River, WY 82935 Phone: 307-872-4500 Fax: 307-872-4595 | |
Diane Janicki, R.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Commerce Dr, Green River, WY 82935 Phone: 307-875-8492 Fax: 307-875-7389 | |
Cory Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 Wilkes Dr Ste 17, Green River, WY 82935 Phone: 307-875-1788 Fax: 307-875-8817 | |
Garrett Blake Hybarger, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 330 Upland Way, Green River, WY 82935 Phone: 307-875-4654 Fax: 307-875-4641 |