Katherine Quayle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1537 Issued in WY

Practice address

545 E Main St Ste B
Lander, WY 82520-3470

Phone

(307) 335-3471

Fax

(307) 332-5388

NPI assigned

Aug 4, 2014

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Rehab LLCGroup PAC ID 4981838687, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elevate Rehab, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lander, WY
  • NPI 1003257601
  Medicare reassignment Care Compare group
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1639588734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E MAIN ST STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203470",
            "telephone_number": "307-335-3471",
            "fax_number": "307-332-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E MAIN ST STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203470",
            "telephone_number": "307-335-3471",
            "fax_number": "307-332-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAYLE",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477568046",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1477568046",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl C Portwood, M.D.
• Julian Poush
• Kimberly Ann Preletz, LCSW
• Donna K Prevett, M.A. CCC-SLP
• Michael W Pryor, M.D.
• Carol Lee Quillen, P.A.-C.
• Deirdre Danette Rainer, PH.D.
• Thomas Rangitsch, M.D.
• Daniel NMN Ratigan, M.D.
• Tonie Marie Ratliff, CSW - 121

• Physical Therapist in Lander, WY
• Providers in Lander, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.