| Skyler William Jorgensen, | |
|
1102 W Spruce St, Rawlins, WY 82301-5335 | |
| (307) 370-9175 | |
| Not Available |
| Full Name | Skyler William Jorgensen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1102 W Spruce St, Rawlins, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619539160 | NPI | - | NPPES |
| PT-1878 | Other | WY | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1878 (Wyoming) | Primary |
| 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 | Carbon County Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457961252 PECOS PAC ID: 5496174781 Enrollment ID: O20201201001696 |
| Mailing Address | Practice Location Address |
|---|---|
| Skyler William Jorgensen, 201 La Paloma Dr, Rawlins, WY 82301-5111 Ph: (308) 627-4908 | Skyler William Jorgensen, 1102 W Spruce St, Rawlins, WY 82301-5335 Ph: (307) 370-9175 |
Gabriel William Goehring, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 E Cedar St Ste H, Rawlins, WY 82301 Phone: 307-417-0498 | |
Myriah Warren, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W Spruce St, Rawlins, WY 82301 Phone: 307-370-9175 Fax: 307-370-9177 | |
Mobility Center Of Wyoming Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2100 E Cedar St Ste H, Rawlins, WY 82301 Phone: 307-417-0498 | |
Rawlins Snf Operations, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 Fax: 307-324-7579 | |
Bradley L Ferguson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W Spruce St, Rawlins, WY 82301 Phone: 307-370-9175 Fax: 307-370-9177 | |
Alexandra Megan Vigliarolo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 |