Matthew D Mitchell (NPI# 1316283450, PAC ID# 6507003548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1316283450 |
PAC ID by PECOS | 6507003548 |
Professional Enrollment ID | I20180926001292 |
Full Name | Matthew D Mitchell |
Organization Legal Name | WYOMING SPECIALIZED PHYSICAL THERAPY |
Address |
620 W Cheyenne Dr Evanston WY 82930-5505 |
Phone Number | 3077898860 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 4486649100 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
620 W Cheyenne Dr, Evanston, WY 82930-5505 | 3077898860 | WYOMING SPECIALIZED PHYSICAL THERAPY |
Organization Legal Name | WYOMING SPECIALIZED PHYSICAL THERAPY |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael G Jacketta | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Devin J Orrock | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Brian D Redden | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Matt Lowell | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Street Address |
620 W CHEYENNE DR |
City | EVANSTON |
State | WY |
Zip | 82930-5505 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael G Jacketta | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Devin J Orrock | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Brian D Redden | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Matt Lowell | Physical Therapy | Wyoming Specialized Physical Therapy | 620 W Cheyenne Dr, Evanston, WY 82930-5505 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
Pamela R Fuller | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
Suzanne Petren | Clinical Psychologist | Mountain Regional Services, Inc | 50 Allegiance Cir, Evanston, WY 82930-3804 |
Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
Find all physicians in zip 82930 |
City | EVANSTON |
Zip Code | 82930 |
Specialty | PHYSICAL THERAPY |
City + Specialty | EVANSTON + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.