Blacks Fork Physical Therapy LLC
NPI 1629541982 · Physical Therapy Clinic/Center · Evanston, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blacks Fork Physical Therapy LLC is a Physical Therapy Clinic/Center organization in Evanston, WY (NPI 1629541982).
Provider details
- NPI number
- 1629541982
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brady Stokes, Physical Therapist/Owner(307) 679-4959
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
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
7 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
- 2019-01-09
- Last updated
- 2019-01-09
Frequently asked questions
- What is Blacks Fork Physical Therapy LLC's NPI number?
- Blacks Fork Physical Therapy LLC's National Provider Identifier (NPI) is 1629541982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blacks Fork Physical Therapy LLC?
- Blacks Fork Physical Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blacks Fork Physical Therapy LLC located?
- Blacks Fork Physical Therapy LLC's practice location on file with NPPES is 195 Feather Way, Evanston, WY 82930-9352.
- What is Blacks Fork Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Blacks Fork Physical Therapy LLC is (307) 679-4959.
- Does Blacks Fork Physical Therapy LLC accept Medicare?
- Blacks Fork 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 Blacks Fork Physical Therapy LLC?
- The authorized official listed on Blacks Fork Physical Therapy LLC's NPPES record is Brady Stokes, Physical Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blacks Fork Physical Therapy LLC's NPI active?
- Yes — Blacks Fork Physical Therapy LLC's NPI (1629541982) is active in the NPPES registry as of the last update on 2019-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.