DEIDRA COTTENOIR (PT) – Physical Therapist, NPI 1225215635

DEIDRA COTTENOIR (PT) is a healthcare provider. based in Douglas, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1224 (WY). The NPI Number for DEIDRA COTTENOIR (PT) is 1225215635

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRA COTTENOIR (PT)
NPI
1225215635
Phone
(307) 358-9464
Address
PO BOX 1790
Enumeration Date
28 January 2008
Last Update Date
24 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073332873
Graduation Year
2007 (19 years ago)
PAC ID
6507939139
Group Practice PAC ID
4880905694
Professional Enrollment ID
I20080715000838
Address ID
WY826016104CA4120XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

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Provider Addresses for DEIDRA COTTENOIR (PT)

  • 1790, Iron Wood Court, Douglas Flat, Calaveras County, California, 95251, United States

    DOUGLAS, WY 826331790

    Phone: (307) 358-9464

    Fax: (307) 358-9330

    Type: Mailing

  • 311, Thelma Drive, Casper, Natrona County, Wyoming, 82609, United States

    CASPER, WY 826092325

    Phone: (307) 234-2662

    Fax: (307) 234-8810

    Type: Location

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: 2008-07-15

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
I20080715000838IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82633)

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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: 4880905694View full group profile
NameSpecialtyState
-WY
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
-WI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEIDRA COTTENOIR (PT)?
DEIDRA COTTENOIR (PT) — NPI 1225215635 — is the standard way to identify this listing.
Can I rely on DEIDRA COTTENOIR (PT) being an active provider?
As of the registry snapshot, DEIDRA COTTENOIR (PT) is marked active.
What is DEIDRA COTTENOIR (PT)'s primary classification?
Physical Therapist is the headline specialty for DEIDRA COTTENOIR (PT) here. Clinical services aligned with this taxonomy classification.
What address line appears for DEIDRA COTTENOIR (PT)?
DEIDRA COTTENOIR (PT)'s geographic hint is Douglas, Wyoming in our summary view.
Is the information about DEIDRA COTTENOIR (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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