Healthcare Provider Details

I. General information

NPI: 1700081239
Provider Name (Legal Business Name): ALLIANCE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1977 DEWAR DR J
ROCK SPRINGS WY
82901-5737
US

IV. Provider business mailing address

PO BOX 1244
MOUNTAIN VIEW WY
82939-1244
US

V. Phone/Fax

Practice location:
  • Phone: 307-382-3228
  • Fax: 307-382-6886
Mailing address:
  • Phone: 307-705-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DAREN L MARTIN
Title or Position: OWNER
Credential: MPT
Phone: 307-382-3228