| Four Pines Physical Therapy Pc | |
|
1090 S Hwy 89, Jackson, WY 83001 | |
| (307) 733-5577 | |
| (307) 733-5505 |
| Full Name | Four Pines Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1090 S Hwy 89, 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 |
|---|---|---|---|
| 1013090539 | NPI | - | NPPES |
| 113731000 | Medicaid | WY | |
| 307976 | Other | WY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Amy J Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316229420 PECOS PAC ID: 8224204243 Enrollment ID: I20111222000021 |
| Provider Name | Virginia N Highleyman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992888416 PECOS PAC ID: 2163508870 Enrollment ID: I20120116000120 |
| Provider Name | Mark S Schultheis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427034180 PECOS PAC ID: 3577650100 Enrollment ID: I20120522001253 |
| Provider Name | Kaya Loree Tuchscherer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801341771 PECOS PAC ID: 3173819307 Enrollment ID: I20160914000562 |
| Provider Name | Bruce L Forsyth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992799605 PECOS PAC ID: 0042285215 Enrollment ID: I20170713000350 |
| Provider Name | Morgan Kinnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053823054 PECOS PAC ID: 6002173960 Enrollment ID: I20171130001787 |
| Provider Name | Kaysha Bates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427578087 PECOS PAC ID: 0547510588 Enrollment ID: I20180912001547 |
| Provider Name | Jacob Wayne Munger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063038180 PECOS PAC ID: 1951729292 Enrollment ID: I20200917002481 |
| Provider Name | Julia C Stoner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861635617 PECOS PAC ID: 6406105618 Enrollment ID: I20210811004319 |
| 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 | Erin M Dougherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639832579 PECOS PAC ID: 4981098290 Enrollment ID: I20220303000323 |
| Provider Name | Lacey Haas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053543843 PECOS PAC ID: 7012304751 Enrollment ID: I20220427000568 |
| Provider Name | Shawna Grace Troupe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144962820 PECOS PAC ID: 1557740867 Enrollment ID: I20220616001420 |
| Provider Name | Gabrielle A Buch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942633953 PECOS PAC ID: 7113151226 Enrollment ID: I20230807001838 |
| Provider Name | Caleb Cross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730564915 PECOS PAC ID: 5698085199 Enrollment ID: I20230918001712 |
| Provider Name | Dylan James Blair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205594165 PECOS PAC ID: 8820442676 Enrollment ID: I20230927001917 |
| Provider Name | Whitney D Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275209132 PECOS PAC ID: 2769888635 Enrollment ID: I20231005002134 |
| Provider Name | Alexander T Hindmarsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760159065 PECOS PAC ID: 2668870551 Enrollment ID: I20231017002521 |
| Provider Name | Nathan M Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326889171 PECOS PAC ID: 7719429265 Enrollment ID: I20240612000359 |
| Provider Name | Jayme Anne Kizer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457183436 PECOS PAC ID: 2769923945 Enrollment ID: I20240916003542 |
| Provider Name | Kristen Irene Dunlay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528771276 PECOS PAC ID: 8123491669 Enrollment ID: I20240923000440 |
| Provider Name | Brianna Wasser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437729985 PECOS PAC ID: 1052709847 Enrollment ID: I20241104002240 |
| Provider Name | Marcos Alejandro Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013588904 PECOS PAC ID: 7810399771 Enrollment ID: I20250114002061 |
| Mailing Address | Practice Location Address |
|---|---|
| Four Pines Physical Therapy Pc Po Box 8467, Jackson, WY 83002-8467 Ph: (307) 733-5577 | Four Pines Physical Therapy Pc 1090 S Hwy 89, Jackson, WY 83001 Ph: (307) 733-5577 |
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 |