Active Balance Physical Therapy, Llc in Dayton, WY - Medicare Physical Therapist Provider

Active Balance Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Dayton, Wyoming. Their current practice location is 512 Main St, Dayton, Wyoming. You can reach out to their office (for appointments etc.) via phone at (307) 655-2509.

Active Balance Physical Therapy, Llc is licensed to practice in Wyoming (license number PT-0964) and it also participates in the medicare program. Active Balance Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1780057968.

Contact Information

	Active Balance Physical Therapy, Llc
	512 Main St, Dayton, WY 82836-5056
	(307) 655-2509
	(370) 655-2275

Map and Direction

Healthcare Provider's Profile

Full Name	Active Balance Physical Therapy, Llc
Type	Facility
Speciality	Physical Therapist
Location	512 Main St, Dayton, Wyoming
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780057968
Provider Enumeration Date: 11/10/2015
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 4981905080
Enrollment ID: O20151215000760

Medical Identifiers

Medical identifiers for Active Balance Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780057968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-0964 (Wyoming)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Balance Physical Therapy, Llc acts as a billing entity for following providers:

Provider Name	Lisa K Stutzman
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1558318592 PECOS PAC ID: 4486657855 Enrollment ID: I20151215001248

Provider Name	Leah R Mentele
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1093376857 PECOS PAC ID: 3870829666 Enrollment ID: I20190801000000

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Balance Physical Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Active Balance Physical Therapy, Llc Po Box 1064, Dayton, WY 82836-1064 Ph: (307) 655-2509	Active Balance Physical Therapy, Llc 512 Main St, Dayton, WY 82836-5056 Ph: (307) 655-2509

Reviews and Comments

Physical Therapist in Dayton, WY

Leah Mentele, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 512 Main St, Dayton, WY 82836 Phone: 307-655-2509
Mrs. Marta Helen Ostler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 455 Barker Road, Dayton, WY 82836 Phone: 307-461-1795

Active Balance Physical Therapy, Llc - Medicare Physical Therapist in Dayton, WY