Organization Active NPI

Little Goose Therapy LLC

Doing business as Advance Therapy

  • Physical Therapist
  • Sheridan, WY
National Provider Identifier
1609229319
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LITTLE GOOSE THERAPY LLC
Doing business as
Advance Therapy
Practice address
345 S Linden Ave
Sheridan, WY 82801-4709
Phone
(307) 683-0123
Fax
(307) 683-0101
NPI assigned
Jul 18, 2016
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Brian C AllredNPI 1669755252
Title
PT, Owner
Phone
(307) 683-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

345 S Linden Ave
Sheridan, WY 82801-4709

Mailing address

345 S Linden Ave
Sheridan, WY 82801-4709
Phone (307) 683-0123

Other names 1

  • Advance Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161017001480 WY Part B Supplier - Clinic/Group Practice 0941598437 Receives reassigned benefits from 5 practitioners
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

345 S Linden Ave
Sheridan, WY 82801
Phone (307) 672-6610

727 E Brundage Ln
Sheridan, WY 82801

727 E Brundage Ln
Ste L
Sheridan, WY 82801
Phone (307) 683-0123

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1609229319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S LINDEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014709",
            "telephone_number": "307-683-0123",
            "fax_number": "307-683-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S LINDEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014709",
            "telephone_number": "307-683-0123",
            "fax_number": "307-683-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE GOOSE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "307-683-0123"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.