PROACTIVE PHYSICAL THERAPY PC (NPI# 1184814345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184814345 |
| Entity Type | Organization |
| Organization Name | PROACTIVE PHYSICAL THERAPY PC |
| Other Organization Name | PROACTIVE REHABILITATION |
| Practice Address |
317 N Faler Ave Pinedale WY 82941 |
| Mailing Address |
Po Box 1037 Pinedale WY 82941-1037 |
| Practice Telephone | 3073676236 |
| Practice Fax Number | 3073673332 |
| Mailing Telephone | 3073676236 |
| Mailing Fax Number | 3073673332 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN M HOLZ (OWNER PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3073676236 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS BLUE SHIELD | 1163001 | 01 |
| Other Name | Type Code |
|---|---|
| Proactive Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609093434 | Proactive Physical Therapy PC | Physical Therapist | 2311 Park Ave, Suite 2, Burley, ID 83318-2170 | 2007-04-20 |
| Street Address |
317 N FALER AVE |
| City | PINEDALE |
| State | WY |
| Zip Code | 82941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578571071 | Susan M. Holz | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-08-03 |
| 1851903249 | Valerie Ann French | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2020-08-18 |
| 1336473743 | Cassandra D Bennett | Occupational Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2009-10-01 |
| 1457557159 | Jeanne Marie Raney | Speech-Language Pathologist | 317 N Faler Ave, Proactive Physical Therapy PC, Pinedale, WY 82941 | 2007-06-21 |
| 1184791360 | Christen Elaine Thonhoff | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-11-30 |
| 1376556886 | Virginia Helene Mika | Occupational Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-08-14 |
| 1447268941 | Terri Dever Neal | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540794 | Sarah Peterson | Occupational Therapist | 317 N Faler Avenue, Pinedale, WY 82941 | 2020-08-25 |
| 1427600402 | Kelsi Marie Sluyter | Social Worker | 24 Country Club Ln, Pinedale, WY 82941 | 2019-07-10 |
| 1376100776 | Jason M Reasor | Counselor | 24 Country Club Ln., Pinedale, WY 82941 | 2019-05-22 |
| 1831624881 | Winds Physical Therapy LLC | Physical Therapist | 167 South Cole Ave, Pinedale, WY 82941 | 2017-04-27 |
| 1215346424 | Jennifer Jensen | Case Manager/Care Coordinator | 120 S Cole, Pinedale, WY 82941 | 2014-08-13 |
| 1952711384 | Rick Ditton | Social Worker | 798 S Fremont, Pinedale, WY 82941 | 2014-05-07 |
| 1770836553 | Adam Michael Stucki | Pharmacist | 341 E Pine St, Pinedale, WY 82941 | 2012-10-18 |
| 1295022820 | Joshua Howard Francis | Dentist | 51 E. North Street, Pinedale, WY 82941 | 2011-07-04 |
| 1497053144 | Mary L. Simbarcelos | Counselor | 431 W. Pine St., Pinedale, WY 82941 | 2011-03-04 |
| 1902106628 | Sublette County Public Health | Registered Nurse | 619 E Hennick St, Pinedale, WY 82941 | 2010-10-28 |
| Find all providers in zip 82941 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831624881 | Winds Physical Therapy LLC | Physical Therapist | 167 South Cole Ave, Pinedale, WY 82941 | 2017-04-27 |
| 1245468230 | Erica Anne Walrath | Physical Therapist | 317 N. Faler Ave., Pinedale, WY 82941 | 2009-06-29 |
| 1578571071 | Susan M. Holz | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-08-03 |
| 1225018401 | Stephanie Megan Bruce | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2006-01-22 |
| 1851903249 | Valerie Ann French | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2020-08-18 |
| 1659710978 | Craig R Hadfield | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2013-06-19 |
| 1316229420 | Amy J. Hughes | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2011-09-14 |
| 1801949045 | Mark L Weaver | Physical Therapist | 317 N. Faler Ave, Pinedale, WY 82941 | 2007-01-19 |
| 1184791360 | Christen Elaine Thonhoff | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-11-30 |
| 1447268941 | Terri Dever Neal | Physical Therapist | 317 N Faler Ave, Pinedale, WY 82941 | 2006-08-03 |
| Find all providers in PINEDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.