Individual provider Active NPI

Trent Sobieck, PT, DPT

  • Physical Therapist
  • Evanston, WY
National Provider Identifier
1386183242
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1683 Issued in WY
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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 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

Enrollment IDStateProvider typePAC IDDetails
I20170227001619 WY Practitioner - Physical Therapist in Private Practice 0042594632 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1683WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Hospital District Current Accepting new patients
South Lincoln Hospital District CurrentSince Aug 22, 2025 Accepting new patients
South Lincoln Hospital District CurrentSince Jan 1, 2025 Accepting new patients
South Lincoln Hospital District CurrentSince Jan 1, 2025 Accepting new patients

Locations

711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401

Interoperability endpoints

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.