JACKSON HOLE SPORTS RECOVERY LLC (NPI# 1255943098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255943098 |
| Entity Type | Organization |
| Organization Name | JACKSON HOLE SPORTS RECOVERY LLC |
| Practice Address |
680 S Cache St Ste 100 Jackson WY 83001-8694 |
| Mailing Address |
Po Box 880 Jackson WY 83001-0880 |
| Practice Telephone | 3074394247 |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | GIANNA RISOLI (PHYSICAL THERAPIST, OWNER) |
| Authorized Official Telephone | 3074394257 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
680 S CACHE ST STE 100 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690971 | Excel Therapy of Nj Corp | Clinic/Center | 2080 West Countyline Rd, Jackson, NJ 08527-0870 | 2020-02-04 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| 1699145490 | Inmotion Rehab, LLC | Clinic/Center | 5140 Galaxie Dr Ste 106, Jackson, MS 39206-4354 | 2015-10-06 |
| 1649613142 | Encore Rehabilitation, Inc. | Clinic/Center | 220 Hospital Dr Bldg B, Jackson, AL 36545-2459 | 2013-04-15 |
| 1730437187 | Unique Surfaces LLC | Clinic/Center | 654 Page Ave, Jackson, MI 49203-1943 | 2012-08-16 |
| 1457656639 | Grace Myofascial Clinic, LLC | Clinic/Center | 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235 | 2011-01-19 |
| 1699007658 | Andrea Marie Dillon | Clinic/Center | 120 West Pearl Avenue, Jackson, WY 83001 | 2010-02-02 |
| 1821222548 | Developmental Physical Therapy Services, LLC | Clinic/Center | 1355 Hoyt Ln, Jackson, WY 83001-9446 | 2009-05-09 |
| 1477607208 | Agilitas Usa, Inc. | Clinic/Center | 172 W University Pkwy, Ste. C, Jackson, TN 38305-1622 | 2007-01-22 |
| Find all providers in JACKSON | ||||
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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.