Sports and Rehabilitation Center of Wyoming LLC
NPI 1063009272ActiveOrganization· Rehabilitation Practitioner· Jackson, WY
Rehabilitation Practitioner in Jackson, Wyoming, registered in NPPES in December 2020. The authorized official on file is Austin Hammesfahr, Manager.
Overview
| NPI | 1063009272 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2020 |
| Last updated in NPPES | May 23, 2021 |
| Certified by provider | May 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|