ANDREW NIELSEN PT, DPT
NPI 1053806703
Physical Therapist - Orthopedic in Gillette, WY

Q: What is Andrew Nielsen's NPI number?

The NPI number for Andrew Nielsen is 1053806703. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Andrew Nielsen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Nielsen was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 26, 2018Accepts Medicare Assignment

1103 E BOXELDER RD STE U, GILLETTE, WY 82718(307) 686-8177(307) 686-9484 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2018, Jun 26, 2018 (2 updates tracked since 2018).

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About Andrew Nielsen Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW NIELSEN PT, DPT (NPI 1053806703) is an individual orthopedic provider in Gillette, Wyoming and active in the NPI registry since June 2018. He maintains a secondary practice location in Gillette and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053806703

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameANDREW NIELSENCredential: PT, DPT

Location Address1103 E BOXELDER RD STE UGillette, WY 82718

Mailing Address600 Running W DrGillette, WY 82718-2017 · (308) 530-7625

Phone(307) 686-8177

Fax(307) 686-9484

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 26, 2018

Last NPPES UpdateJuly 18, 20182 updates tracked since enumeration

✔ NPI 1053806703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1103 E BOXELDER RD STE U, Gillette, WY 82718

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Secondary Practice Location 1

Location 1600 Running W DrGillette, WY 82718-2017 · Phone (308) 530-7625

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Nielsen Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42561615

PECOS Enrollment IDI20180920000867

Medicare Billing Reassignment

Medicare enrollment records show Andrew Nielsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

212 Degrees, LLC

Same address

Physical Therapist

1103 E BOXELDER RD, SUITE U
Gillette, WY 82718

Reassigned Medicare billing, Wyoming enrollment
17 clinicians in this Medicare group

NPI 1154653400 (307) 686-8177

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

517 services95 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

370 services89 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

171 services58 patients

Application of blood vessel compression device 97016

A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.

66 services17 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

41 services24 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

35 services32 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARON CHARLES PROEFROCK PT, DPT

Physical Therapist