Active NPI
Lee Colleen Sowada, D.P.T.
- Physical Therapist
- Gillette, WY
National Provider Identifier
1124468996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 603 S Gillette Ave
Gillette, WY 82716-4205 - Phone
- (307) 682-2500
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
603 S Gillette Ave
Gillette, WY 82716-4205
Mailing address
603 S Gillette Ave
Gillette, WY 82716-4205
Phone (307) 682-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170612000579 | WY | Practitioner - Physical Therapist in Private Practice | 9830333152 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellhouse LLC
Practice addresses (Care Compare)
603 S Gillette Ave
Gillette, WY 82716-4205
Phone (307) 682-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellhouse, LLC | Physical Therapist | Current | Accepting new patients |
| Pelvic Therapy Specialists, PC | Physical Therapist | Past | Accepting new patients |
| Lindsay Braun | Past | Accepting new patients | |
| Blue Sky Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
603 S Gillette Ave
Gillette, WY 82716
Phone (307) 682-2500
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.
-
- Physical Therapist
- Gillette, WY
- NPI 1770106668
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1699924506
Physical Therapist
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1710334842
-
- Physical Therapy Clinic/Center
- Boulder, CO
- NPI 1699958306
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1124468996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S GILLETTE AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827164205",
"telephone_number": "307-682-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S GILLETTE AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827164205",
"telephone_number": "307-682-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWADA",
"first_name": "LEE",
"middle_name": "COLLEEN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Jul 28, 2020; 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.