Individual provider Active NPI

Kristi Kay Wilde, PT

  • Physical Therapist
  • Moorcroft, WY
National Provider Identifier
1366923104
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-0350 Issued in NU
Practice address
101 West Crook Street
Moorcroft, WY 82721
Phone
(307) 756-9200
NPI assigned
Aug 28, 2018
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 PT-0350 NU Primary

Addresses

Primary practice location

101 West Crook Street
Moorcroft, WY 82721

Mailing address

PO Box 338
Moorcroft, WY 82721-0338
Phone (307) 756-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129001158 WY Practitioner - Physical Therapist in Private Practice 0648660050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Outpatient Therapy LLCGroup PAC ID 7113317330, 3 clinicians

Practice addresses (Care Compare)

101 W Crook St
Moorcroft, WY 82721-5027
Phone (307) 756-9200

1211 S Douglas Hwy
Suite 100
Gillette, WY 82716-4982
Phone (307) 670-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Therapy of Wyoming LLC Physical Therapist CurrentSince Oct 3, 2023 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership CurrentSince Dec 1, 2024 Accepting new patients
Davis Home Health LLC CurrentSince Mar 27, 2022 Accepting new patients
Hand Therapy of Wyoming LLC CurrentSince Oct 3, 2023 Accepting new patients
Hand and Physical Therapy of Wyoming Limited Partnership Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Davis Outpatient Therapy LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Power Basin Therapy LLC Physical Therapist CurrentSince Oct 11, 2025 Accepting new patients

Locations

1211 S Douglas Hwy
Ste 100
Gillette, WY 82716
Phone (307) 228-1005

Organizations & group practices 7

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1366923104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "MOORCROFT",
            "state": "WY",
            "postal_code": "827210338",
            "telephone_number": "307-756-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST CROOK STREET",
            "city": "MOORCROFT",
            "state": "WY",
            "postal_code": "82721",
            "telephone_number": "307-756-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "KRISTI",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "PT-0350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorcroft, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.