Back Country Physical Therapy, LLC
NPI 1558742981ActiveOrganization· Physical Therapist· Sheridan, WY
Physical Therapist in Sheridan, Wyoming, registered in NPPES in June 2015. The authorized official on file is Brett A. Jenks, PT, DPT, CERT. MDT, Owner/Physical Therapist.
Overview
| NPI | 1558742981 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2015 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Feb 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-1552 | WY |
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 |
|---|
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