WYOMING SPECIALIZED PHYSICAL THERAPY INC.
NPI 1336151265
Physical Therapist in Evanston, WY
About Wyoming Specialized Physical Therapy Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYOMING SPECIALIZED PHYSICAL THERAPY INC. (NPI 1336151265) is a healthcare organization registered as a physical therapist in Evanston, Wyoming and active in the NPI registry since August 2006. The organization lists Michael G Jacketta, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
- 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 1
Group Practice 1
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)
Wyoming Specialized Physical Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Wyoming Specialized Physical Therapy Inc., 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 (4)
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 Wyoming Specialized Physical Therapy Inc.'s NPI number?
The NPI number for Wyoming Specialized Physical Therapy Inc. is 1336151265. It was assigned to this organization in the NPPES registry on August 12, 2006.
Where is Wyoming Specialized Physical Therapy Inc. located?
Wyoming Specialized Physical Therapy Inc. is located at 620 W Cheyenne Dr., Evanston, WY 82930. The listed phone number is (307) 789-8860.
What is Wyoming Specialized Physical Therapy Inc.'s specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Wyoming Specialized Physical Therapy Inc. enrolled in Medicare?
Yes. Wyoming Specialized Physical Therapy Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wyoming Specialized Physical Therapy Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Wyoming Specialized Physical Therapy Inc.. 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. The largest specialties are Physical Therapist in Private Practice (3) and Occupational Therapist in Private Practice (1). 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 Wyoming Specialized Physical Therapy Inc. accept?
Health plans from Blue Cross Blue Shield of Wyoming list Wyoming Specialized Physical Therapy Inc. 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 Wyoming Specialized Physical Therapy Inc. was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.