Kayla Anne Williamsen, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9408 Issued in AZ

Practice address

548 Running W Dr
Gillette, WY 82718-2074

Phone

(307) 696-6045

Fax

(307) 696-6046

NPI assigned

Aug 16, 2011

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

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Physical TherapyGroup PAC ID 7214233873, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Momentum Physical Therapy

  • Physical Therapy Clinic/Center
  • Gillette, WY
  • NPI 1841656196

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Core 307 PT LLC

  • Physical Therapist
  • Gillette, WY
  • NPI 1801386370
  NPD (past)
• KC'S Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Phoenix, AZ
  • NPI 1578592705
  NPD (past)
• Spooner Phoenix Physical Therapy, Inc.

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1477807485
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1740569185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WESTHILLS LOOP",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827187552",
            "telephone_number": "307-660-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 RUNNING W DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827182074",
            "telephone_number": "307-696-6045",
            "fax_number": "307-696-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSEN",
        "first_name": "KAYLA",
        "middle_name": "ANNE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Widener
• Billie F Wilkerson, MD
• Lori Ann Wilkerson
• Kathryn Spring Wilkins, BA - PSYCHOLOGY
• Kelsey Williams
• Willow Tree Therapy
• Moriahn Wilson, PA-C
• Ragen Wilson, PT
• Amy Rebecca Winkleman, D.P.M.
• Candace M Winters, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.