MEDICARE: MR. SCOTT ELVIN PHISTER MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT469	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	307314	OTHER	WY	BLUE CROSS BLUE SHIELF

General Provider Information

NPI Number	:	1568484475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT ELVIN PHISTER MPT

Provider Business Mailing Address
First Line	:	2002 WEST SUNSET DR
Second Line	:	SUITE 1
City	:	RIVERTON
State	:	WY
Zip	:	82501
Country	:	US
Telephone Number	:	307-856-7021
Fax Number	:	307-856-5546

Provider Business Practice Location Address
First Line	:	2002 WEST SUNSET DR
Second Line	:	SUITE 1
City	:	RIVERTON
State	:	WY
Zip	:	82501
Country	:	US
Telephone Number	:	307-856-7021
Fax Number	:	307-856-5546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	11/09/2007

Similar Medicare Providers

1093447021 — HOMETOWN FREEDOM HEALTHCARE, LLC
Practice Location Address:

103 N 5TH ST E
RIVERTON, WY
82501-4402

Practice Phone: 307-463-0541
Practice Fax: 307-463-0494

1881524460 — VIRGINIA MARIE SARGENT
Practice Location Address:

1005 COLLEGE VIEW DR
RIVERTON, WY
82501-2289

Practice Phone: 307-857-3488
Practice Fax:

1568465797 — DR. JOSEPH PATRICK TURNER MD
Practice Location Address:

1005 COLLEGE VIEW DR
RIVERTON, WY
82501-2289

Practice Phone: 307-857-3488
Practice Fax: 307-857-5252

1902809130 — DR. MARTHA M TURNER M.D.
Practice Location Address:

1240 COLLEGE VIEW
RIVERTON, WY
82501

Practice Phone: 307-856-1206
Practice Fax: 307-856-4259

1710980651 — DR. PAUL ALAN AXTHELM DDS
Practice Location Address:

325 W MAIN ST , STE A
RIVERTON, WY
82501-3448

Practice Phone: 307-856-8197
Practice Fax: 307-857-0699

1053311506 — MICHAEL R FISHER MD
Practice Location Address:

1005 COLLEGE VIEW DR
RIVERTON, WY
82501-2266

Practice Phone: 307-857-5247
Practice Fax: 307-857-5215

1114919826 — DR. BRIAN J BALLARD O.D.
Practice Location Address:

300 N BROADWAY AVE
RIVERTON, WY
82501-3545

Practice Phone: 307-856-9451
Practice Fax: 307-856-8548

Directions to “ MR. SCOTT ELVIN PHISTER MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.