Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679567499 Individual Practitioner Male Practitioner

Evan Earle Kelley , MSPT, OCS

Specialist • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Evan Kelley, MSPT, OCS is a registered healthcare professional specializing in Specialist in Cheyenne, WY. Practice services are available at 6900 ALDEN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6900 Alden Dr

Cheyenne, WY 820053906

Telephone 3077733406

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Cheyenne, WY (61 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 11277

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Elizabeth Buss , DPT

Physical Therapist - Orthopedic

NPI 1447770656

Doctor of Physical Therapy

Alexander Hokanson , PT

Physical Therapist

NPI 1982313433

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 05, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 05, 2007

Registered at 6900 ALDEN DR, CHEYENNE, WY 820053906 (Tel: 3077733406)

📍
Updated Business Mailing Address December 05, 2007

Registered at 6900 ALDEN DR, CHEYENNE, WY 820053906 (Tel: 3077733406)

👤
Provider Name / Credentials Updated December 05, 2007

Recorded as EVAN KELLEY, MSPT, OCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2007

Specialist (License #11277 in MA)

🟢
Initial NPI Registration & Enumeration September 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679567499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: December 05, 2007
Sole Proprietor: No

Mailing Address

6900 Alden Dr

Cheyenne, WY 820053906

Phone: 3077733406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.