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

Thad Justin Willis, DPT

Individual provider Physical Therapist · NPI 1467801340

Thad Justin Willis, DPT is a Physical Therapist in Private Practice in Riverton, Wyoming. Qualified in 2016, 10 years ago. Practices with Fremont Therapy Group Limited Partnership, a 23-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
10
Licensed in
WY
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2002 W Sunset Dr Ste 1
Riverton, WY 82501-2283
Phone: (307) 856-7021
Fax: (307) 856-5546
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1633 (WY)

Record details

NPI number1467801340
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 10, 2016
Last updated in NPPESJune 10, 2016
Mailing address2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fremont Therapy Group Limited Partnership — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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