DR. NICHOLAS HENRY HASTERT (PT, DPT) – Physical Therapist, NPI 1306376975

DR. NICHOLAS HENRY HASTERT (PT, DPT) is a healthcare provider. based in Green river, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1716 (WY). The NPI Number for DR. NICHOLAS HENRY HASTERT (PT, DPT) is 1306376975

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS HENRY HASTERT (PT, DPT)
NPI
1306376975
Phone
(307) 875-4654
Address
330 UPLAND WAY
Enumeration Date
15 June 2017
Last Update Date
15 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3078754654
Graduation Year
2017 (9 years ago)
PAC ID
7012282643
Group Practice PAC ID
4284042649
Professional Enrollment ID
I20171009001365
Address ID
WY829356401GR330XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

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Provider Addresses for DR. NICHOLAS HENRY HASTERT (PT, DPT)

  • Upland Way, Green River, Sweetwater County, Wyoming, 82935, United States

    GREEN RIVER, WY 82935

    Phone: (307) 875-4654

    Type: Location

  • Summerview Drive, Stockton, San Joaquin County, California, 95210, United States

    GREEN RIVER, WY 829355454

    Phone: (307) 871-4922

    Type: Mailing

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: 2017-10-09

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
I20171009001365IPhysical 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 minutes95851$0
97530Therapy procedure using functional activities71943$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes56944$0
97140Therapy procedure using manual technique, each 15 minutes48734$0
97116Therapy procedure for walking training, each 15 minutes14611$0
View full utilization report →

Insurance plans in this area (ZIP 82935)

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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: 4284042649View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. NICHOLAS HENRY HASTERT (PT, DPT)'s NPI?
Yes. DR. NICHOLAS HENRY HASTERT (PT, DPT) is listed with NPI 1306376975 in the public NPI dataset.
Is DR. NICHOLAS HENRY HASTERT (PT, DPT) still practicing?
DR. NICHOLAS HENRY HASTERT (PT, DPT) is currently listed as active in the public NPI registry.
What healthcare role does DR. NICHOLAS HENRY HASTERT (PT, DPT) hold?
Scheduling teams often label DR. NICHOLAS HENRY HASTERT (PT, DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NICHOLAS HENRY HASTERT (PT, DPT) on a map?
Expect Green River, Wyoming as a primary anchor for DR. NICHOLAS HENRY HASTERT (PT, DPT) unless the record lists multiple sites.
Is the information about DR. NICHOLAS HENRY HASTERT (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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