MR. DUSTIN ALAN DAVIDSON (DPT) – Physical Therapist, NPI 1356638167

MR. DUSTIN ALAN DAVIDSON (DPT) is a healthcare provider. based in Casper, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-1370 (WY). The NPI Number for MR. DUSTIN ALAN DAVIDSON (DPT) is 1356638167

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. DUSTIN ALAN DAVIDSON (DPT)
NPI
1356638167
Phone
(307) 333-2873
Address
4120 S POPLAR ST
Enumeration Date
30 June 2011
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073332873
Graduation Year
2011 (15 years ago)
PAC ID
7214105758
Group Practice PAC ID
4880905694
Professional Enrollment ID
I20110727000553
Address ID
WY826016104CA4120XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for MR. DUSTIN ALAN DAVIDSON (DPT)

  • 4120 S POPLAR ST

    CASPER, WY 826016104

    Phone: (307) 333-2873

    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: 2011-07-27

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
I20110727000553IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes1,22849$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23340$0
97161Evaluation for physical therapy, typically 20 minutes5645$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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Provider's Procedures

MR. DUSTIN ALAN DAVIDSON (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWY97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29739
PHYSICAL THERAPYWY97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes99542

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

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Frequently asked questions

What number should I use to identify MR. DUSTIN ALAN DAVIDSON (DPT) for billing?
Administrative and clinical systems typically use NPI 1356638167 for MR. DUSTIN ALAN DAVIDSON (DPT).
Is MR. DUSTIN ALAN DAVIDSON (DPT) currently accepting referrals based on NPI status?
Registry metadata lists MR. DUSTIN ALAN DAVIDSON (DPT) as active.
What services align with MR. DUSTIN ALAN DAVIDSON (DPT)'s listing?
MR. DUSTIN ALAN DAVIDSON (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. DUSTIN ALAN DAVIDSON (DPT)?
MR. DUSTIN ALAN DAVIDSON (DPT) is associated with Casper, Wyoming in the same public data insurers reference.
Why is information missing for MR. DUSTIN ALAN DAVIDSON (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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