RED TAIL THERAPY
NPI 1710618483
Physical Therapist in Afton, WY

Active since June 22, 2022
350 S WASHINGTON ST UNIT 5, AFTON, WY 83110(307) 254-1353 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 25, 2022, Jul 24, 2022 (2 updates tracked since 2022).

About Red Tail Therapy NPPES

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

RED TAIL THERAPY (NPI 1710618483) is a healthcare organization registered as a physical therapist in Afton, Wyoming and active in the NPI registry since June 2022. The organization lists Kenneth Smith, Ceo, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1710618483
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameRED TAIL THERAPY LLC
Location Address350 S WASHINGTON ST UNIT 5Afton, WY 83110-5106
Mailing AddressPo Box 1111Afton, WY 83110-1111 · (307) 254-1353
Organization SubpartNo
Authorized OfficialKenneth SmithCeo, Physical Therapist · (307) 368-2300
Enumeration DateJune 22, 2022
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1710618483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
350 S WASHINGTON ST UNIT 5, Afton, WY 83110

Other Names 1

Doing Business AsRed Tail Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Red Tail Therapy 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 Red Tail Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1558838185
487A NORTH MAIN ST
Thayne, WY 83127
(307) 883-8877
✔ Accepts Medicare14 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 Red Tail Therapy LLC's NPI number?

The NPI number for Red Tail Therapy LLC is 1710618483. It was assigned to this organization in the NPPES registry on June 22, 2022. The provider is doing business as Red Tail Therapy.

Where is Red Tail Therapy LLC located?

Red Tail Therapy LLC is located at 350 S Washington St Unit 5, Afton, WY 83110. The listed phone number is (307) 254-1353.

What is Red Tail Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Red Tail Therapy LLC enrolled in Medicare?

Yes. Red Tail Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Red Tail Therapy LLC?

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

What insurance does Red Tail Therapy LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Red Tail 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 Red Tail Therapy LLC was last updated on August 25, 2022. 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.