| Smart Sports Medicine Clinic Pc | |
|
5307 Yellowstone Rd, Cheyenne, WY 82009-4736 | |
| (307) 632-7677 | |
| (307) 778-8292 |
| Full Name | Smart Sports Medicine Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 5307 Yellowstone Rd, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376690214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Primary |
| Provider Name | Thomas J Bledsoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053494948 PECOS PAC ID: 8123912235 Enrollment ID: I20040210000841 |
| Provider Name | Vincent J Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366525339 PECOS PAC ID: 5496650574 Enrollment ID: I20101028001015 |
| Provider Name | Jennifer L Favilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568879377 PECOS PAC ID: 5890018378 Enrollment ID: I20150109000010 |
| Provider Name | Afzal Hussian Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669768305 PECOS PAC ID: 4587808175 Enrollment ID: I20150903000917 |
| Provider Name | Joshua K Artery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699151779 PECOS PAC ID: 8527365535 Enrollment ID: I20160317002318 |
| Provider Name | Justin Brink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528138732 PECOS PAC ID: 0648441246 Enrollment ID: I20160712002320 |
| Provider Name | Sheena Lee Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306483300 PECOS PAC ID: 2062848203 Enrollment ID: I20200205002984 |
| Provider Name | Adrian Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760845739 PECOS PAC ID: 4284921958 Enrollment ID: I20200811001465 |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Sports Medicine Clinic Pc Po Box 20168, Cheyenne, WY 82003-7004 Ph: (307) 632-7677 | Smart Sports Medicine Clinic Pc 5307 Yellowstone Rd, Cheyenne, WY 82009-4736 Ph: (307) 632-7677 |
Bluegrass Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099 | |
Mrs. Linda Rc Froelicher, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4000 Central Ave, Suite #3, Cheyenne, WY 82001 Phone: 307-634-0298 Fax: 307-634-0837 | |
Nicholas Robert Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Converse Ave Ste B, Cheyenne, WY 82001 Phone: 307-514-2411 Fax: 307-514-2392 | |
Byron Louis Long, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009 Phone: 307-634-2626 Fax: 307-634-5099 | |
Mr. Thomas James Bledsoe, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-2562 | |
Sandra Champlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1951 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-773-8533 Fax: 307-635-7578 | |
Dr. Charlene Marie Sheamansmith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4515 E Pershing Blvd Unit C, Cheyenne, WY 82001 Phone: 307-635-2388 Fax: 307-635-1730 |