POWDER RIVER PHYSICAL MEDICINE & REHABILITATION, LLC (NPI# 1619413044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619413044 |
| Entity Type | Organization |
| Organization Name | POWDER RIVER PHYSICAL MEDICINE & REHABILITATION, LLC |
| Practice Address |
3100 W Lakeway Rd Suite 3 Gillette WY 82718-6372 |
| Practice Telephone | 3072064990 |
| Practice Fax Number | 3073634033 |
| Mailing Telephone | 3072064990 |
| Mailing Fax Number | 3073634033 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | LINDA LEE WALBY (MANAGER) |
| Authorized Official Telephone | 3072064990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 10678A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
3100 W LAKEWAY RD SUITE 3 |
| City | GILLETTE |
| State | WY |
| Zip Code | 82718-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972535227 | John L. Mansell | Anesthesiology | 3100 W Lakeway Rd, Suite 3, Gillette, WY 82718-6372 | 2006-07-07 |
| 1164804480 | A Wyoming Pain Clinic, P.C. | Anesthesiology | 3100 W Lakeway Rd, Suite 3, Gillette, WY 82718-6372 | 2015-06-23 |
| 1376885616 | Sasha Paige Rau | Registered Nurse | 3100 W Lakeway Rd, Ste 3, Gillette, WY 82718-6372 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413964 | Kaylyn Brook Bahnson | Pharmacist | 2000 South Douglas Hwy Walgreens Pharmacy, Gillette, WY 82718 | 2017-12-28 |
| 1205373073 | Cheryl Trembath | Counselor | 201 West Lakeway Rd, Suite 1004, Gillette, WY 82718 | 2017-01-31 |
| 1043769078 | Employment Testing Services | Clinical Medical Laboratory | 3805 South Douglas Hwy, Unit 1, Gillette, WY 82718 | 2016-10-03 |
| 1750730339 | Caritas Mental Health LLC | Community/Behavioral Health | 5204 Raven St, Gillette, WY 82718 | 2016-06-06 |
| 1902298029 | Jena Cowen | Day Training, Developmentally Disabled Services | 5305 Cowen Drive, Gillette, WY 82718 | 2015-02-26 |
| 1720480635 | Brenda Kay Upton | Pharmacist | 2300 S Douglas Highway, Gillette, WY 82718 | 2014-09-23 |
| 1891127825 | Bighorn Dental Clinic PC | Dentist | 4403 Running W. Drive, Gillette, WY 82718 | 2013-08-01 |
| 1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
| 1225224231 | County of Campbell | Public Health or Welfare | 2301 South 4j Rd, Gillette, WY 82718 | 2007-09-24 |
| 1043424336 | Lowell R Amiotte II | Anesthesiology | 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 | 2007-05-09 |
| Find all providers in zip 82718 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919427 | Ivyrehab Network, Inc. | Physical Medicine & Rehabilitation | 977 Valley Rd Unit G, Gillette, NJ 07933-1813 | 2020-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706128 | Shenae Kayleen Lacroix | Physical Medicine & Rehabilitation | 2719 Wy-585, Sundance, WY 82729 | 2020-07-01 |
| 1598945214 | Carlos L. Buckner | Physical Medicine & Rehabilitation | 5880 Enterprise Ste 400, Casper, WY 82609-4295 | 2007-11-09 |
| 1164469995 | Parris Physical Therapy LLC | Physical Medicine & Rehabilitation | 4202 Ridge Rd, Cheyenne, WY 82001-1744 | 2006-06-01 |
| 1922643568 | Elisa Detling | Physical Medicine & Rehabilitation | 1102 W Spruce St, Rawlins, WY 82301-5335 | 2019-11-07 |
| 1225697972 | Peter Mason | Physical Medicine & Rehabilitation | 1819 Sheridan Ave, Cody, WY 82414-3886 | 2019-06-06 |
| 1801325956 | Kristin E Glisczinski | Physical Medicine & Rehabilitation | 1541 Diamond Dr, Casper, WY 82601-6247 | 2017-06-11 |
| 1992110977 | Trevor Gessel | Physical Medicine & Rehabilitation | 4140 Centennial Hills Blvd Ste A, Casper, WY 82609 | 2014-06-27 |
| 1700123288 | Gannett Peak Physical Medicine LLC | Physical Medicine & Rehabilitation | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2013-01-03 |
| 1679851570 | Rocky Mountain Pm&r LLC | Physical Medicine & Rehabilitation | 5880 Enterprise Ste 400, Casper, WY 82609-4295 | 2011-07-26 |
| 1992936710 | Robert A Campbell | Physical Medicine & Rehabilitation | 329 Main St, Lander, WY 82520-3101 | 2009-07-28 |
| Find all providers with the same taxonomy | ||||
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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.