Four Pines Physical Therapy Pc | |
1090 S Hwy 89, Jackson, WY 83001 | |
(307) 733-5577 | |
(307) 733-5505 |
Full Name | Four Pines Physical Therapy Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1090 S Hwy 89, 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 |
---|---|---|---|
1013090539 | NPI | - | NPPES |
113731000 | Medicaid | WY | |
307976 | Other | WY | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Amy J Hughes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316229420 PECOS PAC ID: 8224204243 Enrollment ID: I20111222000021 |
Provider Name | Virginia N Highleyman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992888416 PECOS PAC ID: 2163508870 Enrollment ID: I20120116000120 |
Provider Name | Mark S Schultheis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427034180 PECOS PAC ID: 3577650100 Enrollment ID: I20120522001253 |
Provider Name | Kaya Loree Tuchscherer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801341771 PECOS PAC ID: 3173819307 Enrollment ID: I20160914000562 |
Provider Name | Bruce L Forsyth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992799605 PECOS PAC ID: 0042285215 Enrollment ID: I20170713000350 |
Provider Name | Morgan Kinnes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053823054 PECOS PAC ID: 6002173960 Enrollment ID: I20171130001787 |
Provider Name | Kaysha Heck |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427578087 PECOS PAC ID: 0547510588 Enrollment ID: I20180912001547 |
Provider Name | Jacob Wayne Munger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063038180 PECOS PAC ID: 1951729292 Enrollment ID: I20200917002481 |
Provider Name | Julia C Stoner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861635617 PECOS PAC ID: 6406105618 Enrollment ID: I20210811004319 |
Provider Name | Mary Ann Mullane |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053986430 PECOS PAC ID: 4880084318 Enrollment ID: I20211124000454 |
Provider Name | Erin M Dougherty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639832579 PECOS PAC ID: 4981098290 Enrollment ID: I20220303000323 |
Provider Name | Lacey Erickson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053543843 PECOS PAC ID: 7012304751 Enrollment ID: I20220427000568 |
Provider Name | Shawna Grace Troupe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144962820 PECOS PAC ID: 1557740867 Enrollment ID: I20220616001420 |
Provider Name | Christopher Rodney Knight |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083128912 PECOS PAC ID: 4688921091 Enrollment ID: I20230413000829 |
Provider Name | Gabrielle Alexandra Buch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942633953 PECOS PAC ID: 7113151226 Enrollment ID: I20230807001838 |
Provider Name | Caleb Cross |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730564915 PECOS PAC ID: 5698085199 Enrollment ID: I20230918001712 |
Provider Name | Dylan Blair |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205594165 PECOS PAC ID: 8820442676 Enrollment ID: I20230927001917 |
Provider Name | Whitney Adams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275209132 PECOS PAC ID: 2769888635 Enrollment ID: I20231005002134 |
Provider Name | Alexander T Hindmarsh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760159065 PECOS PAC ID: 2668870551 Enrollment ID: I20231017002521 |
Mailing Address | Practice Location Address |
---|---|
Four Pines Physical Therapy Pc Po Box 8467, Jackson, WY 83002-8467 Ph: (307) 733-5577 | Four Pines Physical Therapy Pc 1090 S Hwy 89, Jackson, WY 83001 Ph: (307) 733-5577 |
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 |