FOUR PINES PHYSICAL THERAPY PC
NPI 1013090539
Physical Therapist in Jackson, WY
About Four Pines Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR PINES PHYSICAL THERAPY PC (NPI 1013090539) is a healthcare organization registered as a physical therapist in Jackson, Wyoming and active in the NPI registry since October 2006. The organization lists Virginia Norene Christensen, Owner President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Pines Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Four Pines Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Four Pines Physical Therapy PC's NPI number?
The NPI number for Four Pines Physical Therapy PC is 1013090539. It was assigned to this organization in the NPPES registry on October 21, 2006.
Where is Four Pines Physical Therapy PC located?
Four Pines Physical Therapy PC is located at 1090 S Hwy 89, Jackson, WY 83001. The listed phone number is (307) 733-5577.
What is Four Pines Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Four Pines Physical Therapy PC enrolled in Medicare?
Yes. Four Pines Physical Therapy PC is registered in the Medicare PECOS enrollment system.
When is Four Pines Physical Therapy PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wyoming, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Four Pines Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Four Pines Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Four Pines Physical Therapy PC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Four Pines Physical Therapy PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Four Pines Physical Therapy PC was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Four Pines Physical Therapy Pc · NPI 1013090539
Physical Therapist organization in Jackson, Wyoming. Organization record, active in the CMS NPPES registry since October 21, 2006.
## Identity
- **NPI:** 1013090539 (Entity type: Organization)
- **Enumerated:** October 21, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Virginia Christensen, OWNER PRESIDENT
## Practice location
- **Address:** 1090 S HWY 89, Jackson, WY 83001
- **Phone:** (307) 733-5577 · **Fax:** (307) 733-5505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Wyoming, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2011
- **Other identifiers:** Other 307976 (WY); Medicaid 113731000 (WY); Medicare PIN W307976 (WY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1013090539) · Data from the CMS NPPES public registry.