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

Raustin Josef Grandy

Individual provider Physical Therapist · NPI 1649984097

Raustin Josef Grandy is a Physical Therapist in Private Practice in Cheyenne, Wyoming. Qualified in 2022, 4 years ago. Practices with Fremont Therapy Group Limited Partnership, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1951 Bluegrass Cir
Cheyenne, WY 82009-7355
Phone: (307) 773-8533
Fax: (307) 635-7578
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Upland Way, Green River, WY 82935-6401 — (307) 875-4641

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2227 (WY)

Record details

NPI number1649984097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address1951 Bluegrass Cir, Cheyenne, WY 82009-7355

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fremont Therapy Group Limited Partnership — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cheyenne