| Physical Therapy Of Wyoming Llc | |
|
1211 S Douglas Hwy Ste 120, Gillette, WY 82716-4949 | |
| (307) 670-8111 | |
| (307) 670-8113 |
| Full Name | Physical Therapy Of Wyoming Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1211 S Douglas Hwy Ste 120, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295481174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| Provider Name | Leila H Porath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356524268 PECOS PAC ID: 9830275023 Enrollment ID: I20080328000143 |
| Provider Name | Carol Wells |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811951320 PECOS PAC ID: 6608858287 Enrollment ID: I20090216000287 |
| Provider Name | Brandy Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760795843 PECOS PAC ID: 7416072814 Enrollment ID: I20100908000764 |
| Provider Name | Kyle K Graves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689145484 PECOS PAC ID: 0941535595 Enrollment ID: I20190718001317 |
| Provider Name | Shelby Kline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154041143 PECOS PAC ID: 5698151215 Enrollment ID: I20221005003087 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Of Wyoming Llc 1211 S Douglas Hwy Ste 120, Gillette, WY 82716-4949 Ph: (307) 670-8111 | Physical Therapy Of Wyoming Llc 1211 S Douglas Hwy Ste 120, Gillette, WY 82716-4949 Ph: (307) 670-8111 |
Thomas Jake Andrew, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave Ste D, Gillette, WY 82716 Phone: 307-688-8000 | |
Cassidy R Drevlow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1013 E Boxelder Rd Ste 100, Gillette, WY 82718 Phone: 307-682-4900 | |
Andrew Nielsen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1103 E Boxelder Rd Ste U, Gillette, WY 82718 Phone: 307-686-8177 Fax: 307-686-9484 | |
Dr. Stephenie Jo Means, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 S Gillette Avenue Suite 603, Gillette, WY 82716 Phone: 307-696-6070 Fax: 307-682-4996 | |
North Platte Physical Therapy Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 4j Ct, Gillette, WY 82716 Phone: 307-686-2569 | |
Lee Colleen Sowada, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 603 S Gillette Ave, Gillette, WY 82716 Phone: 307-682-2500 | |
Shelby Kline, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1211 S Douglas Hwy Ste 120, Gillette, WY 82716 Phone: 307-670-8111 Fax: 307-670-8113 |