Individual provider Active NPI

Brianne Marie Kartes, PT, ATC

  • Physical Therapist
  • Gillette, WY
National Provider Identifier
1639748932
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2076 Issued in WY
Practice address
1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582
Phone
(307) 686-8177
Fax
(307) 686-9484
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 176 WY
Physical Therapist 225100000X PT-2076 WY Primary

Addresses

Primary practice location

1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582

Mailing address

1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582
Phone (307) 686-8177

Other practice location 1

220 E Main St
Sundance, WY 82729-5151
Phone (307) 228-8011

Other practice location 2

219 W Main St
Newcastle, WY 82701-2125
Phone (307) 228-8012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001981 WY Practitioner - Physical Therapist in Private Practice 6507269560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2076WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
212 Degrees, LLC Physical Therapist CurrentSince Jun 9, 2021 Accepting new patients

Locations

1103 E Boxelder Rd
Ste U
Gillette, WY 82718
Phone (307) 363-5801

219 W Main St
Newcastle, WY 82701
Phone (307) 363-5930

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
212 Degrees LLC 12 clinicians

Practice addresses (Care Compare)

1103 E Boxelder Rd
Suite U
Gillette, WY 82718-5582
Phone (307) 686-8177

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1639748932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-686-8177",
            "fax_number": "307-686-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-686-8177",
            "fax_number": "307-686-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Main St",
            "address_purpose": "LOCATION",
            "city": "Sundance",
            "state": "WY",
            "postal_code": "827295151",
            "country_code": "US",
            "telephone_number": "307-228-8011",
            "fax_number": "307-696-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 W Main St",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WY",
            "postal_code": "827012125",
            "country_code": "US",
            "telephone_number": "307-228-8012",
            "fax_number": "307-696-2896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARTES",
        "first_name": "BRIANNE",
        "middle_name": "MARIE",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WY",
            "license": "176",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.