BLACKS FORK PHYSICAL THERAPY LLC
NPI 1629541982
Clinic/Center - Physical Therapy in Evanston, WY
About Blacks Fork Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKS FORK PHYSICAL THERAPY LLC (NPI 1629541982) is a healthcare organization registered as a physical therapy in Evanston, Wyoming and active in the NPI registry since January 2019. The organization lists Brady S. Stokes, Physical Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Blacks Fork Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Blacks Fork Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Blacks Fork Physical Therapy LLC's NPI number?
The NPI number for Blacks Fork Physical Therapy LLC is 1629541982. It was assigned to this organization in the NPPES registry on January 9, 2019.
Where is Blacks Fork Physical Therapy LLC located?
Blacks Fork Physical Therapy LLC is located at 195 Feather Way, Evanston, WY 82930. The listed phone number is (307) 679-4959.
What is Blacks Fork Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Blacks Fork Physical Therapy LLC enrolled in Medicare?
Yes. Blacks Fork Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blacks Fork Physical Therapy 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 Blacks Fork Physical Therapy 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blacks Fork Physical Therapy LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Blacks Fork Physical Therapy 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 Blacks Fork Physical Therapy LLC was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Blacks Fork Physical Therapy Llc · NPI 1629541982
Physical Therapy organization in Evanston, Wyoming. Organization record, active in the CMS NPPES registry since January 9, 2019.
## Identity
- **NPI:** 1629541982 (Entity type: Organization)
- **Enumerated:** January 9, 2019
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Brady Stokes, PHYSICAL THERAPIST/OWNER
## Practice location
- **Address:** 195 FEATHER WAY, Evanston, WY 82930-9352
- **Phone:** (307) 679-4959
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1629541982) · Data from the CMS NPPES public registry.