Wellhouse, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WELLHOUSE, LLC

Practice address

603 S Gillette Ave
Gillette, WY 82716-4205

Phone

(307) 682-2500

Fax

(307) 939-7080

NPI assigned

May 26, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Sowada, PT, DPTNPI 1124468996

Title

Authorized Official, Partner

Phone

(307) 682-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee Colleen Sowada, D.P.T.

  • Physical Therapist
  • Gillette, WY
  • NPI 1124468996
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan L. K. Malkowski, PT

  • Physical Therapist
  • Gillette, WY
  • NPI 1578815551
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1770106668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S GILLETTE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164205",
            "telephone_number": "307-682-2500",
            "fax_number": "307-939-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S GILLETTE AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164205",
            "telephone_number": "307-682-2500",
            "fax_number": "307-939-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "SOWADA",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, PARTNER",
        "authorized_official_telephone_number": "307-682-2500",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Riley Walter, PA-C
• Kerry Elizabeth Warner, RN
• Tracy L Wasserburger, APRN
• Amy Darlene Weber, LPC
• Carene Emmett Weinand
• Wellness Centers, LLC
• Charlene Annette Wenger
• Eden Marie West, PCSW
• Western Nursing (Open Doors Inc.)
• Western Nursing Open Doors Inc.

• 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 Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.