Thad Justin Willis, DPT | |
2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | |
(307) 856-7021 | |
(307) 856-5546 |
Full Name | Thad Justin Willis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 2002 W Sunset Dr, Riverton, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467801340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-1633 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fremont Therapy Group Limited Partnership | 4284042649 | 21 |
Provider Name | Fremont Therapy Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477568046 PECOS PAC ID: 5092798488 Enrollment ID: O20040608000562 |
Provider Name | Fremont Therapy Group Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487244042 PECOS PAC ID: 4284042649 Enrollment ID: O20210423000622 |
Mailing Address | Practice Location Address |
---|---|
Thad Justin Willis, DPT 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 Ph: (307) 856-7021 | Thad Justin Willis, DPT 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 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 |