Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY L FERGUSON MPT (OWNER)
(608) 249-6239
Entity
Organization
Contact information
Practice address
207 E HOLLY, SARATOGA, WY 82331
(307) 326-8223
Mailing address
PO BOX 1272, SARATOGA, WY 82331-1272
(608) 345-7053
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
9632-024
WI
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-1763
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40358600
—
WI
01
—
41570000
MEDICAID DME
WI
Enumeration date
01/30/2008
Last updated
06/06/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up