Individual provider Active NPI

Gabriel William Goehring, PT, DPT

  • Physical Therapist
  • Rawlins, WY
National Provider Identifier
1083319784
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100901 Issued in IA
Practice address
2100 E Cedar St Ste H
Rawlins, WY 82301-6029
Phone
(307) 417-0498
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 100901 IA Primary

Addresses

Primary practice location

2100 E Cedar St Ste H
Rawlins, WY 82301-6029

Mailing address

2100 E Cedar St Ste H
Rawlins, WY 82301-6029
Phone (307) 417-0498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003301 WY Practitioner - Physical Therapist in Private Practice 8325586399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobility Center of Wyoming LLCGroup PAC ID 3173995982, 3 clinicians

Practice addresses (Care Compare)

415 W Buffalo St
Rawlins, WY 82301-5621
Phone (307) 413-0498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100901IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Center of Wyoming LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Mobility Center of Wyoming LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

2100 E Cedar St
Ste H
Rawlins, WY 82301
Phone (307) 413-0498

415 W Buffalo St
Rawlins, WY 82301
Phone 3074170498 ext. 03297

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1083319784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E CEDAR ST STE H",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823016029",
            "telephone_number": "307-417-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E CEDAR ST STE H",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823016029",
            "telephone_number": "307-417-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEHRING",
        "first_name": "GABRIEL",
        "middle_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "100901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.