Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wyoming Specialized Physical Therapy Inc.

Physical Therapist in Evanston, WY · enumerated 2006 · authorized official Michael Jacketta, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336151265

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Registry record

Entity type Organization (Type 2)

Legal business name Wyoming Specialized Physical Therapy Inc.

Practice address 620 W Cheyenne Dr., Evanston, WY, 82930

Phone (307) 789-8860

Fax (307) 789-8394

Enumeration date Aug 12, 2006

Last updated in NPPES Nov 1, 2021

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Michael Jacketta

Title Owner

Phone (307) 789-8860

Other identifiers

Identifier	Type	State	Issuer
118279000	Medicaid	WY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Wyoming Specialized Physical Therapy Inc.?

Wyoming Specialized Physical Therapy Inc. is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Devin Orrock Physical Therapist · Evanston, WY NPI 1497313563 Savannah Jeske Physical Therapy Assistant · Evanston, WY NPI 1932730405

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-01.