| Fremont Therapy Group Llc | |
| 
					2002 West Sunset Drive, Suite 1, Riverton, WY 82501  | |
| (307) 856-7021 | |
| (307) 856-5546 | 
| Full Name | Fremont Therapy Group Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 2002 West Sunset Drive, Riverton, Wyoming | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477568046 | NPI | - | NPPES | 
| 111952400 | Medicaid | WY | |
| 303969 | Other | WY | BLUE CROSS BLUE SHIELD | 
| 1524243 | Other | UNITED MINEWORKERS | |
| 185794800 | Other | ACS DEPT OF LABOR | |
| C65268 | Other | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Kim K Asbell | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1043232952 PECOS PAC ID: 0042246548 Enrollment ID: I20050715000745  | 
| Provider Name | Courtney L Hansen | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1003838640 PECOS PAC ID: 2668408162 Enrollment ID: I20050715000759  | 
| Provider Name | Lorin B Kaufman | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1093729543 PECOS PAC ID: 2567445950 Enrollment ID: I20050715000774  | 
| Provider Name | Aileen O Brew | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1376557827 PECOS PAC ID: 1052347457 Enrollment ID: I20050715000842  | 
| Provider Name | Kristopher S Nelson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1558375006 PECOS PAC ID: 7719916154 Enrollment ID: I20050805000877  | 
| Provider Name | Mitchell T Johnson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1013945120 PECOS PAC ID: 7719878214 Enrollment ID: I20070827000832  | 
| Provider Name | Michelle E Cook | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1588846919 PECOS PAC ID: 4789675745 Enrollment ID: I20101028000294  | 
| Provider Name | Ty N Francis | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1538384847 PECOS PAC ID: 4688814460 Enrollment ID: I20130628000559  | 
| Provider Name | Thomas J Davis | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1730598830 PECOS PAC ID: 9032338157 Enrollment ID: I20140922001862  | 
| Provider Name | Kelsey E Ellis | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1720479702 PECOS PAC ID: 9133431778 Enrollment ID: I20150709002734  | 
| Provider Name | Nathan S Tanner | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1497905103 PECOS PAC ID: 7113087461 Enrollment ID: I20151019002076  | 
| Provider Name | Jeffrey Alcorn | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1932585742 PECOS PAC ID: 3779892336 Enrollment ID: I20151021002031  | 
| Provider Name | Thad J Willis | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1467801340 PECOS PAC ID: 5193017622 Enrollment ID: I20160701001212  | 
| Provider Name | Nicholas Hastert | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1306376975 PECOS PAC ID: 7012282643 Enrollment ID: I20171009001365  | 
| Provider Name | Katelin R Tucker | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1568726081 PECOS PAC ID: 7315197746 Enrollment ID: I20171030003340  | 
| Provider Name | Ryan M Cook | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1619536430 PECOS PAC ID: 9537495544 Enrollment ID: I20190730000820  | 
| Provider Name | Skyler W Jorgensen | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1619539160 PECOS PAC ID: 3971833716 Enrollment ID: I20190923000530  | 
| Provider Name | Wojslaw Marciniak | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1972974467 PECOS PAC ID: 8426476995 Enrollment ID: I20200912000153  | 
| Provider Name | Jacqueline E Clark | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1215452958 PECOS PAC ID: 8628497369 Enrollment ID: I20200930001976  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fremont Therapy Group Llc 2002 West Sunset Drive, Suite 1, Riverton, WY 82501 Ph: (307) 856-7021  | Fremont Therapy Group Llc 2002 West Sunset Drive, Suite 1, Riverton, WY 82501 Ph: (307) 856-7021  | 
Mitchell Troy Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 W Sunset Dr, Suite Number 1, Riverton, WY 82501 Phone: 307-856-7021 Fax: 307-856-5546  | |
Rachel Elizabeth Goff,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 2002 W Sunset Dr Ste 1, Riverton, WY 82501 Phone: 307-875-4654  | |
Mr. Michael S. Stuber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Forest Dr, Riverton, WY 82501 Phone: 307-856-1511 Fax: 307-856-1792  | |
Wind River Snf Operations, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1002 Forest Dr, Riverton, WY 82501 Phone: 307-856-9471  | |
Mrs. Pamela Joanne Richardson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Forest Dr, Riverton, WY 82501 Phone: 307-856-9471  | |
Andrew Christian Bosselman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1406 W Main St, Riverton, WY 82501 Phone: 307-857-7074 Fax: 307-856-6459  | |
John Reddon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 820 W Main St, Riverton, WY 82501 Phone: 307-857-7074 Fax: 307-856-6459  |