JACKSON HOLE SPORTS RECOVERY LLC
NPI 1255943098
Clinic/Center - Physical Therapy in Jackson, WY

Active since August 22, 2020
680 S CACHE ST STE 100, JACKSON, WY 83001(307) 439-4247 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Jackson Hole Sports Recovery Llc NPPES

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

JACKSON HOLE SPORTS RECOVERY LLC (NPI 1255943098) is a healthcare organization registered as a physical therapy in Jackson, Wyoming and active in the NPI registry since August 2020. The organization lists Gianna Risoli, Physical Therapist, Owner, as its authorized official.

NPPES Registry Identity

NPI1255943098
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJACKSON HOLE SPORTS RECOVERY LLC
Location Address680 S CACHE ST STE 100Jackson, WY 83001-8694
Mailing AddressPo Box 880Jackson, WY 83001-0880
Organization SubpartNo
Authorized OfficialGianna RisoliPhysical Therapist, Owner · (307) 439-4257
Enumeration DateAugust 22, 2020
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1255943098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
680 S CACHE ST STE 100, Jackson, WY 83001

Accepted 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)

Jackson Hole Sports Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Hole Sports Recovery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1811329410
120 W PEARL AVE
Jackson, WY 83001
(307) 734-9129
✔ Accepts Medicare0.4 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 Jackson Hole Sports Recovery LLC's NPI number?

The NPI number for Jackson Hole Sports Recovery LLC is 1255943098. It was assigned to this organization in the NPPES registry on August 22, 2020.

Where is Jackson Hole Sports Recovery LLC located?

Jackson Hole Sports Recovery LLC is located at 680 S Cache St Ste 100, Jackson, WY 83001. The listed phone number is (307) 439-4247.

What is Jackson Hole Sports Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Jackson Hole Sports Recovery LLC enrolled in Medicare?

Yes. Jackson Hole Sports Recovery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Hole Sports Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Jackson Hole Sports Recovery LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson Hole Sports Recovery LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Jackson Hole Sports Recovery 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 Jackson Hole Sports Recovery LLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.