Individual provider Active NPI

Leila H Porath, PT

  • Physical Therapist
  • Thermopolis, WY
National Provider Identifier
1356524268
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-0277 Issued in WY
Practice address
305 Broadway St
Thermopolis, WY 82443-2713
Phone
(307) 864-4141
NPI assigned
Dec 13, 2007
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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 PT-0277 WY Primary

Addresses

Primary practice location

305 Broadway St
Thermopolis, WY 82443-2713

Mailing address

PO Box 805
Thermopolis, WY 82443-0805
Phone (307) 864-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000143 WY Practitioner - Physical Therapist in Private Practice 9830275023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians

Practice addresses (Care Compare)

148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-0277WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of Wyoming LLC Physical Therapist CurrentSince Jun 4, 2022 Accepting new patients
William H and Carrie Gottsche Foundation CurrentSince Dec 16, 2024 Accepting new patients
Holistic Pain Management of Wyoming, LLC Past Accepting new patients

Locations

1211 S Douglas Hwy
Ste 120
Gillette, WY 82716
Phone (307) 670-8111

148 E Arapahoe St
Thermopolis, WY 82443
Phone (307) 864-0003

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

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, 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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1356524268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824430805",
            "telephone_number": "307-864-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BROADWAY ST",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432713",
            "telephone_number": "307-864-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORATH",
        "first_name": "LEILA",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-0277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thermopolis, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.