Wyoming Specialized Physical Therapy Inc.
NPI 1336151265 · Physical Therapist · Evanston, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wyoming Specialized Physical Therapy Inc. is a Physical Therapist organization in Evanston, WY (NPI 1336151265).
Provider details
- NPI number
- 1336151265
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Jacketta, Owner(307) 789-8860
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
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
19 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
- 2006-08-12
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Wyoming Specialized Physical Therapy Inc.'s NPI number?
- Wyoming Specialized Physical Therapy Inc.'s National Provider Identifier (NPI) is 1336151265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wyoming Specialized Physical Therapy Inc.?
- Wyoming Specialized Physical Therapy Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wyoming Specialized Physical Therapy Inc. located?
- Wyoming Specialized Physical Therapy Inc.'s practice location on file with NPPES is 620 W Cheyenne Dr., Evanston, WY 82930-5505.
- What is Wyoming Specialized Physical Therapy Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wyoming Specialized Physical Therapy Inc. is (307) 789-8860.
- Does Wyoming Specialized Physical Therapy Inc. accept Medicare?
- Wyoming Specialized Physical Therapy Inc. 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 Wyoming Specialized Physical Therapy Inc.?
- The authorized official listed on Wyoming Specialized Physical Therapy Inc.'s NPPES record is Michael Jacketta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wyoming Specialized Physical Therapy Inc.'s NPI active?
- Yes — Wyoming Specialized Physical Therapy Inc.'s NPI (1336151265) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.