Andrew Nielsen, PT, DPT
NPI 1053806703ActiveIndividual· Physical Therapist, Orthopedic· Gillette, WY
Physical Therapist, Orthopedic (PT, DPT) with 212 Degrees LLC, practicing in Gillette, Wyoming. Medicare paid $23,816 for services to 110 patients in 2024.
Overview
| NPI | 1053806703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 26, 2018 |
| Last updated in NPPES | Jul 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | — | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 1,240 across 12 procedure codes |
| Paid by Medicare | $23,816 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 212 Degrees LLCGillette, WY · 15 clinicians
Other Physical Therapist, Orthopedic providers in Gillette
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