Active NPI
Trent Sobieck, PT, DPT
- Physical Therapist
- Evanston, WY
National Provider Identifier
1386183242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1683
- Practice address
- 96 Yellow Creek Rd
Evanston, WY 82930-5229 - Phone
- (307) 444-4466
- Fax
- (307) 444-4468
- NPI assigned
- Feb 13, 2017
- Last updated
- Feb 13, 2017
- Sex
- Male
- 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 | 1683 | WY | Primary |
Addresses
Primary practice location
96 Yellow Creek Rd
Evanston, WY 82930-5229
Mailing address
96 Yellow Creek Rd
Evanston, WY 82930-5229
Phone (307) 444-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1683 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lincoln Hospital District | Current | Accepting new patients | |
| South Lincoln Hospital District | Current | Accepting new patients | |
| South Lincoln Hospital District | Current | Accepting new patients | |
| South Lincoln Hospital District | Current | Accepting new patients |
Locations
711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401
Interoperability endpoints
- https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4
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.
-
dba South Lincoln Medical Center
- Rural Acute Care Hospital
- Kemmerer, WY
- NPI 1033221569
-
dba South Lincoln Medical Center
- Critical Access Hospital
- Kemmerer, WY
- NPI 1972743011
-
dba Arrowhead Family Medicine
- Rural Health Clinic/Center
- Evanston, WY
- NPI 1689207722
-
dba South Lincoln Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Kemmerer, WY
- NPI 1881834927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1386183242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 YELLOW CREEK RD",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305229",
"telephone_number": "307-444-4466",
"fax_number": "307-444-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 YELLOW CREEK RD",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305229",
"telephone_number": "307-444-4466",
"fax_number": "307-444-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBIECK",
"first_name": "TRENT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
- Thomas James Simon, M.D.
- Andrea Michelle Smith
- Logan Smith
- Maureen Ann Smith
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #86)
- South Lincoln Hospital District (Arrowhead Family Medicine)
- South Lincoln Hospital District (Arrowhead Family Medicine)
- Adrienne Southard
- Southwest Counseling Service
- Southwest Counseling Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.