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SMART SPORTS MEDICINE LLC
NPI 1114408739
Physical Medicine & Rehabilitation - Sports Medicine in Cheyenne, WY

Active since August 22, 2018
5307 YELLOWSTONE RD, CHEYENNE, WY 82009(307) 632-7677(307) 778-8292 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Aug 22, 2018 (2 updates tracked since 2018).

About Smart Sports Medicine Llc NPPES

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

SMART SPORTS MEDICINE LLC (NPI 1114408739) is a healthcare organization registered as a sports medicine in Cheyenne, Wyoming and active in the NPI registry since August 2018. The organization lists Vincent J. Ross, President, as its authorized official.

NPPES Registry Identity

NPI1114408739
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameSMART SPORTS MEDICINE LLC
Location Address5307 YELLOWSTONE RDCheyenne, WY 82009-4736
Mailing Address5307 Yellowstone RdCheyenne, WY 82009-4736 · (307) 632-7677 · Fax (307) 778-8292
Phone(307) 632-7677
Fax(307) 778-8292
Organization SubpartNo
Authorized OfficialVincent J. RossPresident · (307) 632-7677
Enumeration DateAugust 22, 2018
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1114408739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in WY · 3871A
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
5307 YELLOWSTONE RD, Cheyenne, WY 82009
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smart Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Smart Sports Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sheena Pacheco, FNP
Nurse Practitioner
NPI 1306483300
214 E 23RD ST
Cheyenne, WY 82001
(307) 996-4516
✔ PECOS✔ Accepts Medicare2.0 mi
Justin Brink, PT
Physical Therapist in Private Practice
NPI 1528138732
4017 RAWLINS ST
Cheyenne, WY 82001
(307) 317-8332
✔ Accepts Medicare3.6 mi

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 Smart Sports Medicine LLC's NPI number?

The NPI number for Smart Sports Medicine LLC is 1114408739. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is Smart Sports Medicine LLC located?

Smart Sports Medicine LLC is located at 5307 Yellowstone Rd, Cheyenne, WY 82009. The listed phone number is (307) 632-7677.

What is Smart Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Smart Sports Medicine LLC enrolled in Medicare?

Yes. Smart Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Smart Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Smart Sports Medicine LLC, in Nurse Practitioner and Physical Therapist in Private Practice. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Smart Sports Medicine LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Smart Sports Medicine LLC 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 Smart Sports Medicine LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.