ANDREW CHRISTIAN BOSSELMAN (DPT) – Physical Therapist, NPI 1174252415

ANDREW CHRISTIAN BOSSELMAN (DPT) is a healthcare provider. based in Riverton, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2173 (WY). The NPI Number for ANDREW CHRISTIAN BOSSELMAN (DPT) is 1174252415

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW CHRISTIAN BOSSELMAN (DPT)
NPI
1174252415
Phone
(307) 857-7074
Address
1406 W MAIN ST
Enumeration Date
9 June 2022
Last Update Date
9 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3078577074
Graduation Year
2022 (4 years ago)
PAC ID
3678949716
Group Practice PAC ID
3971586199
Professional Enrollment ID
I20221014001633
Address ID
WY825013239RI1406XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for ANDREW CHRISTIAN BOSSELMAN (DPT)

  • 1406 W MAIN ST

    RIVERTON, WY 825013239

    Phone: (307) 857-7074

    Fax: (307) 856-6459

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221014001633IPhysical Therapist In Private PracticeWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,590126$0
97140Therapy procedure using manual technique, each 15 minutes1,007101$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes996111$0
97530Therapy procedure using functional activities82081$0
97116Therapy procedure for walking training, each 15 minutes8513$0
View full utilization report →

Insurance plans in this area (ZIP 82501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971586199View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
-WY
-WY
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
-WY
Occupational Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

How do payers reference ANDREW CHRISTIAN BOSSELMAN (DPT)?
For ANDREW CHRISTIAN BOSSELMAN (DPT), use NPI 1174252415 as the unique 10-digit identifier.
Is ANDREW CHRISTIAN BOSSELMAN (DPT) still an active registrant?
ANDREW CHRISTIAN BOSSELMAN (DPT) carries an active NPI according to the public dataset.
What expertise is attributed to ANDREW CHRISTIAN BOSSELMAN (DPT)?
ANDREW CHRISTIAN BOSSELMAN (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Wyoming is ANDREW CHRISTIAN BOSSELMAN (DPT) registered?
Use Riverton, Wyoming as the headline location for ANDREW CHRISTIAN BOSSELMAN (DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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