180 Healthcare

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

180 HEALTHCARE

Practice address

505 Clarion Dr
Gillette, WY 82718-7596

Phone

(307) 217-0467

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Holly Dorr

Title

Coo

Phone

(307) 217-0467

Specialties & licenses 1

Addresses

Other names 1

• 180 MSK Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1609500255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CLARION DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827187596",
            "telephone_number": "307-217-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CLARION DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827187596",
            "telephone_number": "307-217-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "DORR",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "307-217-0467"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@180msk.com",
            "affiliation": "N",
            "endpointDescription": "Should not contain any patient identifying information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "505 Clarion Dr",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827187596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "180 MSK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1918 Winter Street Operating Co LLC
• 212 Degrees, LLC
• 307 Counseling, LLC
• A Positive Solution Counseling Center, LLC
• A Wyoming Pain Clinic P C

• All providers in Gillette, WY
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.