SKY PHYSICAL THERAPY INC.
NPI 1710172796
Clinic/Center in Jackson, WY

Active since September 12, 2007
970 W BROADWAY, JACKSON, WY 83001(307) 733-7173 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About SKY PHYSICAL THERAPY INC.

This page provides the complete NPI Profile along with additional information for Sky Physical Therapy Inc., a provider established in Jackson, Wyoming operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1710172796 assigned on September 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 325 (WY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Brian Van Hatten Pt, Ocs (Owner)

NPI
1710172796 Verify this NPI
Provider Name
SKY PHYSICAL THERAPY INC.
Entity Type
Organization
Location Address
970 W BROADWAY JACKSON, WY 83001
Location Phone
(307) 733-7173
Mailing Address
PO BOX 9163 JACKSON, WY 83002
Mailing Phone
(307) 733-7173
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2007
Last Update Date
09-09-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
325
License State
WY
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN VAN HATTEN PT, OCS

Authorized Official Title
OWNER
Authorized Official Phone
(307) 733-7173

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
970 W BROADWAY
JACKSON, WY 83001
Counselor (Mental Health)
970 W BROADWAY
JACKSON, WY 83001
Durable Medical Equipment & Medical Supplies
970 W BROADWAY, 408
JACKSON, WY 83001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710172796, enumerated as an "organization" on September 12, 2007.

The provider is located at 970 W BROADWAY JACKSON, WY 83001 and the phone number is (307) 733-7173.

Clinic/Center with taxonomy code 261Q00000X.