Individual provider Active NPI

Noelle Kristen Tvedt, MS PT

  • Physical Therapist
  • Sheridan, WY
National Provider Identifier
1114932993
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT985 Issued in WY
Practice address
50 W 3Rd St
Sheridan, WY 82801-3606
Phone
(307) 672-2092
Fax
(307) 673-1969
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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 PT985 WY Primary

Addresses

Primary practice location

50 W 3Rd St
Sheridan, WY 82801-3606

Mailing address

50 W 3Rd St
Sheridan, WY 82801-3606
Phone (307) 672-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250210002987 ND Practitioner - Physical Therapist in Private Practice 7113041997 Reassigns benefits to 1 organization
I20260211001129 OR Practitioner - Physical Therapist in Private Practice 7113041997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Gorge Physical Therapy IncGroup PAC ID 6709776198, 11 clinicians

Practice addresses (Care Compare)

2002 12TH St
Hood River, OR 97031-9543
Phone 5413861211541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT985WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Gorge Physical Therapy Inc Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Nov 7, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Nov 7, 2024 Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince Jun 1, 2021 Accepting new patients

Locations

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

2002 12th St
Hood River, OR 97031
Phone (541) 386-1211

Organizations & group practices 4

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1114932993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 3RD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013606",
            "telephone_number": "307-672-2092",
            "fax_number": "307-673-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 3RD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013606",
            "telephone_number": "307-672-2092",
            "fax_number": "307-673-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TVEDT",
        "first_name": "NOELLE",
        "middle_name": "KRISTEN",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.