Individual provider Active NPI

Lee Colleen Sowada, D.P.T.

  • Physical Therapist
  • Gillette, WY
National Provider Identifier
1124468996
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 28, 2020

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 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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 3476976044, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Wellhouse, LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Pelvic Therapy Specialists, PC Physical Therapist PastSince Nov 15, 2021 Accepting new patients
Lindsay Braun Past Accepting new patients
Blue Sky Physical Therapy, PC Physical Therapist PastSince Jan 5, 2009 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.

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.

Verify at the official NPI Registry.