Pro Physical Therapy Llc - Medicare Physical Therapist in Diamondville, WY

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Pro Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Diamondville, Wyoming. Their current practice location is 20 Adaville Drive, Suite 10, Diamondville, Wyoming. You can reach out to their office (for appointments etc.) via phone at (307) 877-1000.

Pro Physical Therapy Llc is licensed to practice in Wyoming (license number 802) and it also participates in the medicare program. Pro 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 1164619078.

Contact Information

Pro Physical Therapy Llc
20 Adaville Drive, Suite 10,
Diamondville, WY 83116
(307) 877-1000
(307) 877-1000

Map and Direction




Healthcare Provider's Profile

Full NamePro Physical Therapy Llc
TypeFacility
SpecialityPhysical Therapist
Location20 Adaville Drive, Diamondville, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164619078
  • Provider Enumeration Date: 09/25/2007
  • Last Update Date: 09/25/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2163474230
  • Enrollment ID: O20050216000943

Medical Identifiers

Medical identifiers for Pro Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164619078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 802 (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. Pro Physical Therapy Llc acts as a billing entity for following providers:
Provider NameDallas Layne Clark
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972693497
PECOS PAC ID: 0042262115
Enrollment ID: I20050217000654

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. Pro 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 AddressPractice Location Address
Pro Physical Therapy Llc
Po Box 152,
Laketown, UT 84038-0152

Ph: (435) 946-3512		Pro Physical Therapy Llc
20 Adaville Drive, Suite 10,
Diamondville, WY 83116

Ph: (307) 877-1000

Reviews and Comments


Physical Therapist in Diamondville, WY

Mr. Dallas Layne Clark, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 20 Adaville Drive, Suite 10, Diamondville, WY 83116
Phone: 307-877-1000    Fax: 307-877-1000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.