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SPINE & INJURY CLINIC OF LARAMIE, PC
NPI 1902097637
Chiropractor in Laramie, WY

Active since August 07, 2007
3905 E GRAND AVE STE 200, LARAMIE, WY 82070(307) 742-2082(307) 742-2075 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine & Injury Clinic Of Laramie, Pc NPPES

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

SPINE & INJURY CLINIC OF LARAMIE, PC (NPI 1902097637) is a healthcare organization registered as a chiropractor in Laramie, Wyoming and active in the NPI registry since August 2007. The organization lists Kelly Milam, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1902097637
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINE & INJURY CLINIC OF LARAMIE, PC
Location Address3905 E GRAND AVE STE 200Laramie, WY 82070-5189
Mailing Address3905 E Grand Ave Ste 200Laramie, WY 82070-5189 · (307) 742-2082 · Fax (307) 742-2075
Phone(307) 742-2082
Fax(307) 742-2075
Organization SubpartNo
Authorized OfficialKelly MilamPractice Manager · (307) 742-2082
Enumeration DateAugust 7, 2007
Last NPPES UpdateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1902097637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WY · 663
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
3905 E GRAND AVE STE 200, Laramie, WY 82070
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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)

Spine & Injury Clinic Of Laramie, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Spine & Injury Clinic Of Laramie, PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice6
Chiropractic4

Clinicians, nearest first (10)

Jalyn Anderson, PT, DPT
Physical Therapist in Private Practice
NPI 1710317797
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Michelle Collins, DC
Chiropractic
NPI 1629664883
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
David Milam, D.C.
Chiropractic
NPI 1699914895
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Dylan Milam, D.C.
Chiropractic
NPI 1518009042
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Natalie Motor, DPT
Physical Therapist in Private Practice
NPI 1366128563
3905 E GRAND AVE
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Morgan Pearson, DPT
Physical Therapist in Private Practice
NPI 1699205195
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Tiffany Polson, DPT
Physical Therapist in Private Practice
NPI 1619539624
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Bailee Wilson, PT, DPT
Physical Therapist in Private Practice
NPI 1336090331
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Summer Ashworth, DPT,PT
Physical Therapist in Private Practice
NPI 1750057865
3905 E GRAND AVE STE 200
Laramie, WY 82070
(307) 742-2082
✔ Accepts MedicareSame address
Gabriel Deal, DC, MS
Chiropractic
NPI 1750748372
5917 SUNSET DR UNIT 2
Cheyenne, WY 82009
(307) 630-9529
✔ PECOS39 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 Spine & Injury Clinic Of Laramie, PC's NPI number?

The NPI number for Spine & Injury Clinic Of Laramie, PC is 1902097637. It was assigned to this organization in the NPPES registry on August 7, 2007.

Where is Spine & Injury Clinic Of Laramie, PC located?

Spine & Injury Clinic Of Laramie, PC is located at 3905 E Grand Ave Ste 200, Laramie, WY 82070. The listed phone number is (307) 742-2082.

What is Spine & Injury Clinic Of Laramie, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Spine & Injury Clinic Of Laramie, PC enrolled in Medicare?

Yes. Spine & Injury Clinic Of Laramie, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine & Injury Clinic Of Laramie, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Spine & Injury Clinic Of Laramie, PC. 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 (6) and Chiropractic (4). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spine & Injury Clinic Of Laramie, PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Spine & Injury Clinic Of Laramie, PC 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 Spine & Injury Clinic Of Laramie, PC was last updated on October 12, 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.