Individual provider Active NPI

Gretchen Mary Sewczak-Claude, PT, DPT

  • Physical Therapist
  • Laramie, WY
National Provider Identifier
1760680821
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1226 Issued in WY
Practice address
3125 E Grand Ave
Laramie, WY 82070-5137
Phone
(307) 742-3110
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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 1226 WY Primary

Addresses

Primary practice location

3125 E Grand Ave
Laramie, WY 82070-5137

Mailing address

4111 Bobolink LN
Laramie, WY 82070-5525
Phone (303) 319-3803

Other names 1

  • Gretchen Mary Claude Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000337 WY Practitioner - Physical Therapist in Private Practice 2769657881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair Investments IncGroup PAC ID 9234161035, 20 clinicians

Practice addresses (Care Compare)

3125 E Grand Ave
Unit a
Laramie, WY 82070-5137
Phone (307) 742-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1226WYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Investments Inc Physical Therapist CurrentSince Jul 18, 2011 Accepting new patients
Pedrick Inc Physical Therapist PastSince Jul 18, 2011 Accepting new patients

Locations

1541 Centennial Ct
Casper, WY 82609
Phone 30723539104151

3125 E Grand Ave
Laramie, WY 82070
Phone (307) 472-3110

4037 E Grand Ave
Ste C
Laramie, WY 82070
Phone (307) 742-3110

3125 E Grand Ave
Unit A
Laramie, WY 82070
Phone (307) 637-4617

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1760680821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BOBOLINK LN",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705525",
            "telephone_number": "303-319-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705137",
            "telephone_number": "307-742-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWCZAK-CLAUDE",
        "first_name": "GRETCHEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "CLAUDE",
            "middle_name": "MARY",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.