| Excel Physical Therapy, Llc | |
|
120 West Pearl Ave, Jackson, WY 83002 | |
| (307) 734-9129 | |
| Not Available |
| Full Name | Excel Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 120 West Pearl Ave, Jackson, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356414684 | NPI | - | NPPES |
| 123646600 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Francine P Bartlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063468270 PECOS PAC ID: 9436154721 Enrollment ID: I20060920000043 |
| Provider Name | Maria E Lofgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285680041 PECOS PAC ID: 7618972720 Enrollment ID: I20060925000167 |
| Provider Name | Erin M Downey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124268552 PECOS PAC ID: 0749437499 Enrollment ID: I20120830000793 |
| Provider Name | Gianna M Risoli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811329410 PECOS PAC ID: 6002050994 Enrollment ID: I20130916000093 |
| Provider Name | Ariel Zablocki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295282556 PECOS PAC ID: 5698041408 Enrollment ID: I20171024000218 |
| Provider Name | Joanna Chadd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982193983 PECOS PAC ID: 2961757737 Enrollment ID: I20210604000557 |
| Provider Name | Kimberly M Micheletti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336628288 PECOS PAC ID: 5597008730 Enrollment ID: I20211101000334 |
| Provider Name | Mary Ann Mullane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053986430 PECOS PAC ID: 4880084318 Enrollment ID: I20211124000454 |
| Provider Name | Gina M La Tulipe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770566168 PECOS PAC ID: 2668483900 Enrollment ID: I20220110001315 |
| Provider Name | Tyler A Trumble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912517640 PECOS PAC ID: 5597131995 Enrollment ID: I20221025003287 |
| Provider Name | Krysten G Sommerville |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912681040 PECOS PAC ID: 8527414572 Enrollment ID: I20231026002465 |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Physical Therapy, Llc Po Box 8857, Jackson, WY 83002-8857 Ph: (307) 734-2808 | Excel Physical Therapy, Llc 120 West Pearl Ave, Jackson, WY 83002 Ph: (307) 734-9129 |
Four Pines Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505 | |
Benjamin R Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83001 Phone: 307-739-7491 | |
Kara T Jordan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 W Pearl Ave, Jackson, WY 83001 Phone: 307-734-9129 Fax: 307-734-1427 | |
Cossette Burnham, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 | |
Ms. Cassandra Ann Fuller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5310 South Park Drive, Suite 4, Jackson, WY 83002 Phone: 307-262-6372 Fax: 307-200-6403 | |
Mary Ann Mullane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 | |
Dr. Jacob Wayne Munger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505 |