WIND RIVER PHYSICAL THERAPY LLC (NPI# 1548677701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548677701 |
| Entity Type | Organization |
| Organization Name | WIND RIVER PHYSICAL THERAPY LLC |
| Practice Address |
150 Lincoln St Lander WY 82520-2846 |
| Mailing Address |
364 North 2nd Street Lander WY 82520-3033 |
| Practice Telephone | 3073355188 |
| Practice Fax Number | 3073330600 |
| Mailing Telephone | 3073355188 |
| Mailing Fax Number | 3073330600 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | TY NATHANIEL FRANCIS (OWNER) |
| Authorized Official Telephone | 3073355188 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WY-1202 | WY | Other Service Providers |
| Street Address |
150 LINCOLN ST |
| City | LANDER |
| State | WY |
| Zip Code | 82520-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366989428 | Susanne Scheidemantel | Prevention Professional | 150 Lincoln St, Lander, WY 82520-2846 | 2017-01-27 |
| 1821473984 | Heather Nielsen | Physical Therapist | 150 Lincoln St, Lander, WY 82520-2846 | 2015-07-29 |
| 1073823753 | Kathy Lorraine Scott | Physical Therapist | 150 Lincoln St, Lander, WY 82520-2846 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1689091118 | Margie Farias | Specialist | 532 S 8th St, Lander, WY 82520-3224 | 2014-03-21 |
| 1518248756 | Wyoming Urology, P.C. | Specialist | 1510 W. Main Street, Lander, WY 82520 | 2011-09-01 |
| 1215971510 | Lander Valley Physician Practices, LLC | Specialist | 830 Lincoln St, Lander, WY 82520-2736 | 2006-06-16 |
| 1730623984 | Pain Care Center LLC | Specialist | 329 Main St, Lander, WY 82520-3101 | 2016-12-07 |
| 1558442855 | Pamela Mondorf | Specialist | 1320 Bishop Randall Dr, Lander, WY 82520-3939 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185944 | Wyoming Physical Therapy PC | Specialist | 322 N Main St., Pine Bluffs, WY 82082 | 2019-07-12 |
| 1689226524 | Wyoming Physical Therapy PC | Specialist | 1620 E Pershing Blvd, Cheyenne, WY 82001-3238 | 2019-07-11 |
| 1235600891 | Audra Stumbaugh | Specialist | 10 Arctic Ave, Gillette, WY 82718-4171 | 2018-12-07 |
| 1699299313 | Bridges Habilitation Services, Inc. | Specialist | 1425 Highway 150 S Ste 2, Evanston, WY 82930-5377 | 2017-08-03 |
| 1922545896 | Paul Edward Ruttle | Specialist | 2640 Trader Rd, Jackson, WY 83001-8321 | 2017-01-30 |
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1346632486 | Ashley Carrick | Specialist | 3809 Cheyenne St, Cheyenne, WY 82001 | 2015-02-26 |
| 1558702209 | Robin Lynn Whitmore | Specialist | 437 Quarter Horse Dr, Bear River, WY 82930-9592 | 2013-07-10 |
| 1093078032 | Theresa Roseanne Anthony | Specialist | 6570 S Springs Dr, Casper, WY 82604-5496 | 2012-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WIND RIVER PHYSICAL THERAPY LLC.
| 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.