Pro Physical Therapy LLC
NPI 1164619078 · Physical Therapist · Diamondville, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro Physical Therapy LLC is a Physical Therapist organization in Diamondville, WY (NPI 1164619078).
Provider details
- NPI number
- 1164619078
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dallas Clark, Owner/Physical Therapist(435) 946-3512
- License
- 802 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2007-09-25
Frequently asked questions
- What is Pro Physical Therapy LLC's NPI number?
- Pro Physical Therapy LLC's National Provider Identifier (NPI) is 1164619078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Physical Therapy LLC?
- Pro Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pro Physical Therapy LLC located?
- Pro Physical Therapy LLC's practice location on file with NPPES is 20 Adaville Drive, Diamondville, WY 83116.
- What is Pro Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Pro Physical Therapy LLC is (307) 877-1000.
- Does Pro Physical Therapy LLC accept Medicare?
- Pro Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pro Physical Therapy LLC?
- The authorized official listed on Pro Physical Therapy LLC's NPPES record is Dallas Clark, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Physical Therapy LLC's NPI active?
- Yes — Pro Physical Therapy LLC's NPI (1164619078) is active in the NPPES registry as of the last update on 2007-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.