Active NPI
Riley J Mitchell
- Physical Therapist
- Gillette, WY
National Provider Identifier
1023946183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2612
- Practice address
- 3251 Butler Spaeth Rd
Gillette, WY 82718-5483 - Phone
- (307) 299-5075
- NPI assigned
- May 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2612 | WY | Primary |
Addresses
Primary practice location
3251 Butler Spaeth Rd
Gillette, WY 82718-5483
Mailing address
3251 Butler Spaeth Rd
Gillette, WY 82718-5483
Phone (307) 299-5075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626001944 | WY | Practitioner - Physical Therapist in Private Practice | 6800369299 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Little Brook Rd
West Wareham, MA 02576-1222
1103 E Boxelder Rd
Suite U
Gillette, WY 82718-5582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2612 | WY | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1023946183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 BUTLER SPAETH RD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185483",
"telephone_number": "307-299-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 BUTLER SPAETH RD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185483",
"telephone_number": "307-299-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "RILEY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-2612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.