MARYE CARLSON (PT, DPT) – Physical Therapist, NPI 1417732074

MARYE CARLSON (PT, DPT) is a healthcare provider. based in Buffalo, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT-2298 (WY). The NPI Number for MARYE CARLSON (PT, DPT) is 1417732074

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARYE CARLSON (PT, DPT)
NPI
1417732074
Phone
(307) 684-6172
Address
497 W LOTT ST
Enumeration Date
30 August 2023
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076552509
Graduation Year
2023 (3 years ago)
PAC ID
0749715282
Group Practice PAC ID
4981905080
Professional Enrollment ID
I20241121000783
Address ID
WY828365056DA512XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for MARYE CARLSON (PT, DPT)

  • 497 W LOTT ST

    BUFFALO, WY 828341658

    Phone: (307) 684-6172

    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: 2024-11-21

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
I20241121000783IPhysical 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 82834)

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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: 4981905080View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

What unique ID ties claims to MARYE CARLSON (PT, DPT)?
NPI 1417732074 is assigned to MARYE CARLSON (PT, DPT) under the national enumeration system.
Is MARYE CARLSON (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARYE CARLSON (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MARYE CARLSON (PT, DPT). Clinical services aligned with this taxonomy classification.
What location shows for MARYE CARLSON (PT, DPT)?
We surface Buffalo, Wyoming for MARYE CARLSON (PT, DPT) based on available NPPES addresses.
How can I contact MARYE CARLSON (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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