BLACK TOOTH PHYSIOTHERAPY PERFORMANCE, LLC
NPI 1306708557
Clinic/Center - Physical Therapy in Buffalo, WY

Active since November 25, 2025
109 W HESSE ST, BUFFALO, WY 82834(307) 621-0935(844) 409-0424 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Black Tooth Physiotherapy Performance, Llc NPPES

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

BLACK TOOTH PHYSIOTHERAPY PERFORMANCE, LLC (NPI 1306708557) is a healthcare organization registered as a physical therapy in Buffalo, Wyoming and active in the NPI registry since November 2025. The organization lists Matthew James Scarlett, Doctor Of Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1306708557
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBLACK TOOTH PHYSIOTHERAPY PERFORMANCE, LLC
Location Address109 W HESSE STBuffalo, WY 82834-1501
Mailing Address109 W Hesse StBuffalo, WY 82834-1501 · (307) 621-0935 · Fax (844) 409-0424
Fax(844) 409-0424
Organization SubpartNo
Authorized OfficialMatthew James ScarlettDoctor Of Physical Therapy · (307) 620-5712
Enumeration DateNovember 25, 2025
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1306708557 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.
109 W HESSE ST, Buffalo, WY 82834

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)

Black Tooth Physiotherapy Performance, 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 Black Tooth Physiotherapy Performance, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1659961845
109 W HESSE ST
Buffalo, WY 82834
(307) 621-0935
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1922843135
497 W LOTT ST
Buffalo, WY 82834
(307) 684-5521
✔ Accepts Medicare0.6 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 Black Tooth Physiotherapy Performance, LLC's NPI number?

The NPI number for Black Tooth Physiotherapy Performance, LLC is 1306708557. It was assigned to this organization in the NPPES registry on November 25, 2025.

Where is Black Tooth Physiotherapy Performance, LLC located?

Black Tooth Physiotherapy Performance, LLC is located at 109 W Hesse St, Buffalo, WY 82834. The listed phone number is (307) 621-0935.

What is Black Tooth Physiotherapy Performance, LLC's specialty?

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

Is Black Tooth Physiotherapy Performance, LLC enrolled in Medicare?

Yes. Black Tooth Physiotherapy Performance, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Black Tooth Physiotherapy Performance, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Black Tooth Physiotherapy Performance, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Black Tooth Physiotherapy Performance, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Black Tooth Physiotherapy Performance, 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 Black Tooth Physiotherapy Performance, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.