Fremont Therapy Group Llc | |
2002 West Sunset Drive, Suite 1, Riverton, WY 82501 | |
(307) 856-7021 | |
(307) 856-5546 |
Full Name | Fremont Therapy Group Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 2002 West Sunset Drive, Riverton, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477568046 | NPI | - | NPPES |
111952400 | Medicaid | WY | |
303969 | Other | WY | BLUE CROSS BLUE SHIELD |
1524243 | Other | UNITED MINEWORKERS | |
185794800 | Other | ACS DEPT OF LABOR | |
C65268 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kim K Asbell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043232952 PECOS PAC ID: 0042246548 Enrollment ID: I20050715000745 |
Provider Name | Courtney L Hansen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003838640 PECOS PAC ID: 2668408162 Enrollment ID: I20050715000759 |
Provider Name | Lorin B Kaufman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093729543 PECOS PAC ID: 2567445950 Enrollment ID: I20050715000774 |
Provider Name | Lisa A Lowham |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467466912 PECOS PAC ID: 1355377854 Enrollment ID: I20050715000803 |
Provider Name | Aileen O Brew |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376557827 PECOS PAC ID: 1052347457 Enrollment ID: I20050715000842 |
Provider Name | Kristopher S Nelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558375006 PECOS PAC ID: 7719916154 Enrollment ID: I20050805000877 |
Provider Name | Jean M Guy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588761522 PECOS PAC ID: 2163331356 Enrollment ID: I20070221000538 |
Provider Name | Mitchell T Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013945120 PECOS PAC ID: 7719878214 Enrollment ID: I20070827000832 |
Provider Name | Michelle E Cook |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588846919 PECOS PAC ID: 4789675745 Enrollment ID: I20101028000294 |
Provider Name | Whittney K Gomendi-smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326393794 PECOS PAC ID: 8325299720 Enrollment ID: I20121113000056 |
Provider Name | Katelyn L Pertile |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720354251 PECOS PAC ID: 4789822271 Enrollment ID: I20130522000358 |
Provider Name | Ty N Francis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538384847 PECOS PAC ID: 4688814460 Enrollment ID: I20130628000559 |
Provider Name | Thomas J Davis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730598830 PECOS PAC ID: 9032338157 Enrollment ID: I20140922001862 |
Provider Name | Katherine J Quayle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639588734 PECOS PAC ID: 1850511742 Enrollment ID: I20140926001381 |
Provider Name | Kelsey E Ellis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720479702 PECOS PAC ID: 9133431778 Enrollment ID: I20150709002734 |
Provider Name | Nathan S Tanner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497905103 PECOS PAC ID: 7113087461 Enrollment ID: I20151019002076 |
Provider Name | Jeffrey Alcorn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932585742 PECOS PAC ID: 3779892336 Enrollment ID: I20151021002031 |
Provider Name | Thad J Willis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467801340 PECOS PAC ID: 5193017622 Enrollment ID: I20160701001212 |
Provider Name | Micah J Maly |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053861666 PECOS PAC ID: 1254617897 Enrollment ID: I20170413000566 |
Provider Name | Nicholas Hastert |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306376975 PECOS PAC ID: 7012282643 Enrollment ID: I20171009001365 |
Provider Name | Katelin R Tucker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568726081 PECOS PAC ID: 7315197746 Enrollment ID: I20171030003340 |
Provider Name | Ryan M Cook |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619536430 PECOS PAC ID: 9537495544 Enrollment ID: I20190730000820 |
Provider Name | Skyler W Jorgensen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619539160 PECOS PAC ID: 3971833716 Enrollment ID: I20190923000530 |
Provider Name | Wojslaw Marciniak |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972974467 PECOS PAC ID: 8426476995 Enrollment ID: I20200912000153 |
Provider Name | Jacqueline E Clark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215452958 PECOS PAC ID: 8628497369 Enrollment ID: I20200930001976 |
Mailing Address | Practice Location Address |
---|---|
Fremont Therapy Group Llc 2002 West Sunset Drive, Suite 1, Riverton, WY 82501 Ph: (307) 856-7021 | Fremont Therapy Group Llc 2002 West Sunset Drive, Suite 1, Riverton, WY 82501 Ph: (307) 856-7021 |
Mitchell Troy Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2002 W Sunset Dr, Suite Number 1, Riverton, WY 82501 Phone: 307-856-7021 Fax: 307-856-5546 | |
Rachel Elizabeth Goff, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2002 W Sunset Dr Ste 1, Riverton, WY 82501 Phone: 307-875-4654 | |
Mr. Michael S. Stuber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Forest Dr, Riverton, WY 82501 Phone: 307-856-1511 Fax: 307-856-1792 | |
Wind River Rehabilitation And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 1002 Forest Dr, Riverton, WY 82501 Phone: 307-856-9471 | |
Mrs. Pamela Joanne Richardson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Forest Dr, Riverton, WY 82501 Phone: 307-856-9471 | |
Andrew Christian Bosselman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1406 W Main St, Riverton, WY 82501 Phone: 307-857-7074 Fax: 307-856-6459 | |
John Reddon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 820 W Main St, Riverton, WY 82501 Phone: 307-857-7074 Fax: 307-856-6459 |