Physio Sport & Spine LLC
NPI 1841717410ActiveOrganization· Physical Therapist· Cheyenne, WY
Physical Therapist in Cheyenne, Wyoming, registered in NPPES in August 2017. The authorized official on file is Jamie Childs Everett, PT, DPT, Physical Therapist/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1841717410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2017 |
| Last updated in NPPES | Aug 24, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0984 | WY |
| Physical Therapist, Orthopedic | 2251X0800X | 0984 | 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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (WY) |
|---|
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