| Smart Sports Medicine Clinic Pc | |
|
5307 Yellowstone Rd Cheyenne WY 82009-4736 | |
| (307) 632-7677 | |
| (307) 778-8292 |
| Full Name | Smart Sports Medicine Clinic Pc |
|---|---|
| Speciality | Physical Therapist |
| Location | 5307 Yellowstone Rd, Cheyenne, Wyoming |
| Authorized Official Name and Position | Vincent John Ross (OWNER) |
| Authorized Official Contact | 3076327677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Sports Medicine Clinic Pc 5307 Yellowstone Rd Cheyenne WY 82009-4736 Ph: (307) 632-7677 | Smart Sports Medicine Clinic Pc 5307 Yellowstone Rd Cheyenne WY 82009-4736 Ph: (307) 632-7677 |
| NPI Number | 1376690214 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 04/15/2026 |
| Medicare PECOS PAC ID | 2062317142 |
|---|---|
| Medicare Enrollment ID | O20031203000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376690214 | NPI | - | NPPES |
| Provider Name | Thomas J Bledsoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053494948 PECOS PAC ID: 8123912235 Enrollment ID: I20040210000841 |
| Provider Name | Vincent J Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366525339 PECOS PAC ID: 5496650574 Enrollment ID: I20101028001015 |
| Provider Name | Jennifer L Favilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568879377 PECOS PAC ID: 5890018378 Enrollment ID: I20150109000010 |
| Provider Name | Afzal Hussian Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669768305 PECOS PAC ID: 4587808175 Enrollment ID: I20150903000917 |
| Provider Name | Joshua K Artery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699151779 PECOS PAC ID: 8527365535 Enrollment ID: I20160317002318 |
| Provider Name | Justin Brink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528138732 PECOS PAC ID: 0648441246 Enrollment ID: I20160712002320 |
| Provider Name | Sheena Lee Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306483300 PECOS PAC ID: 2062848203 Enrollment ID: I20200205002984 |
| Provider Name | Adrian Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760845739 PECOS PAC ID: 4284921958 Enrollment ID: I20200811001465 |
| Provider Name | Christopher J Rider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780252320 PECOS PAC ID: 9830560523 Enrollment ID: I20240708002389 |
Medi Horizons Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-635-3500 Fax: 307-635-2199 | |
University Of Wyoming Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-777-7911 Fax: 307-777-7911 | |
North Cheyenne Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6015 Sycamore Rd, 1st Floor, Cheyenne, WY 82009 Phone: 307-514-1300 | |
Community Action Of Laramie County, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Westland Rd, Cheyenne, WY 82001 Phone: 307-635-9291 Fax: 307-632-6131 | |
Bade Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E 19th St, Cheyenne, WY 82001 Phone: 307-374-8271 Fax: 307-216-8774 | |
Clinical Decision Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Capitol Ave, Suite 201, Cheyenne, WY 82001 Phone: 307-286-1833 | |
Physician Management Services Of Wyoming, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Prairie Ave Ste 2, Cheyenne, WY 82009 Phone: 888-829-8550 |