Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blacks Fork Physical Therapy LLC

Organization Physical Therapist · NPI 1629541982

Blacks Fork Physical Therapy LLC is a Physical Therapist in Evanston, Wyoming. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

195 Feather Way
Evanston, WY 82930-9352
Phone: (307) 679-4959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1629541982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brady Stokes — Physical Therapist/Owner · (307) 679-4959
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019
Mailing address3792 Almy Road 107, Evanston, WY 82930-8940

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