Individual provider Active NPI

Robert Lee, DPT,PT

  • Physical Therapist
  • Lander, WY
National Provider Identifier
1710555735
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2074 Issued in WY
Practice address
8168 Highway 789
Lander, WY 82520-2953
Phone
(307) 332-5240
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 PT-2074 WY Primary

Addresses

Primary practice location

8168 Highway 789
Lander, WY 82520-2953

Mailing address

2002 W Sunset Dr Ste 1
Riverton, WY 82501-2285
Phone (307) 856-7021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000761 WY Practitioner - Physical Therapist in Private Practice 8022411842 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

8168 Hwy 789
Lander, WY 82520-2953
Phone (307) 332-5240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Therapy Group Limited Partnership Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Fremont Therapy Group Limited Partnership CurrentSince Jun 14, 2021 Accepting new patients

Locations

8168 State Highway 789
Lander, WY 82520
Phone (307) 332-5240

2002 W Sunset Dr
Ste 1
Riverton, WY 82501
Phone (307) 856-7021

1401 Gateway Blvd
Unit 2
Rock Springs, WY 82901
Phone (307) 352-3626

Organizations & group practices 2

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1710555735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 W SUNSET DR STE 1",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012285",
            "telephone_number": "307-856-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8168 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202953",
            "telephone_number": "307-332-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.