Lisa Nicholls Mohatt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0947 Issued in WY

Practice address

135 N Gould St
Sheridan, WY 82801-3927

Phone

(307) 752-6633

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Hole Too Many LLCGroup PAC ID 7810322641, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• One Hole Too Many LLC

  dba Purpose Physical Therapy

  • Physical Therapist
  • Sheridan, WY
  • NPI 1316582976
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1265027064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6544",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017100",
            "telephone_number": "307-752-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013927",
            "telephone_number": "307-752-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHATT",
        "first_name": "LISA",
        "middle_name": "NICHOLLS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "0947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty L. Mitchell, D.C.
• Glenda Lu Mitchell, MS
• MMH Visions LLC
• Charlene J Moeller, RN
• George W Mohatt, DDS
• Adrianna Molisani, FNP
• Megan Molitor, PHARMD
• Momentum Counseling and Consulting LLC
• Momentum Therapy LLC
• Carrie Monroe, PHARMD

• Physical Therapist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.