Excel Physical Therapy, Llc | |
120 West Pearl Ave, Jackson, WY 83002 | |
(307) 734-9129 | |
Not Available |
Full Name | Excel Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 120 West Pearl Ave, Jackson, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356414684 | NPI | - | NPPES |
123646600 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Francine P Bartlett |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063468270 PECOS PAC ID: 9436154721 Enrollment ID: I20060920000043 |
Provider Name | Maria E Lofgren |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285680041 PECOS PAC ID: 7618972720 Enrollment ID: I20060925000167 |
Provider Name | Erin M Downey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124268552 PECOS PAC ID: 0749437499 Enrollment ID: I20120830000793 |
Provider Name | Gianna M Risoli |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811329410 PECOS PAC ID: 6002050994 Enrollment ID: I20130916000093 |
Provider Name | Ariel Zablocki |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295282556 PECOS PAC ID: 5698041408 Enrollment ID: I20171024000218 |
Provider Name | Sarah J Niederbuhl |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073963286 PECOS PAC ID: 4385930817 Enrollment ID: I20191114000862 |
Provider Name | Caitlin E Ciccone |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255949905 PECOS PAC ID: 6507282589 Enrollment ID: I20200814001122 |
Provider Name | Joanna Chadd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982193983 PECOS PAC ID: 2961757737 Enrollment ID: I20210604000557 |
Provider Name | Kimberly M Micheletti |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336628288 PECOS PAC ID: 5597008730 Enrollment ID: I20211101000334 |
Provider Name | Mary Ann Mullane |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053986430 PECOS PAC ID: 4880084318 Enrollment ID: I20211124000454 |
Provider Name | Gina M La Tulipe |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770566168 PECOS PAC ID: 2668483900 Enrollment ID: I20220110001315 |
Provider Name | Kaitlin M Duffy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730657727 PECOS PAC ID: 7416340302 Enrollment ID: I20220217001952 |
Provider Name | Tyler A Trumble |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912517640 PECOS PAC ID: 5597131995 Enrollment ID: I20221025003287 |
Provider Name | Jessie M Pearson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932820370 PECOS PAC ID: 9739535980 Enrollment ID: I20231025001332 |
Provider Name | Krysten G Williams |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912681040 PECOS PAC ID: 8527414572 Enrollment ID: I20231026002465 |
Mailing Address | Practice Location Address |
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Excel Physical Therapy, Llc Po Box 8857, Jackson, WY 83002-8857 Ph: (307) 734-2808 | Excel Physical Therapy, Llc 120 West Pearl Ave, Jackson, WY 83002 Ph: (307) 734-9129 |
Four Pines Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505 | |
Benjamin R Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83001 Phone: 307-739-7491 | |
Kara T Jordan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 W Pearl Ave, Jackson, WY 83001 Phone: 307-734-9129 Fax: 307-734-1427 | |
Cossette Burnham, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 | |
Ms. Cassandra Ann Fuller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5310 South Park Drive, Suite 4, Jackson, WY 83002 Phone: 307-262-6372 Fax: 307-200-6403 | |
Mary Ann Mullane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 | |
Dr. Jacob Wayne Munger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505 |