Active NPI
Maria Teresa Remolana Kessel, PT, DPT
- Physical Therapist
- Gillette, WY
National Provider Identifier
1801368121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0958
- Practice address
- 300 S Burma Ave
Gillette, WY 82716-3415 - Phone
- (307) 688-6230
- Fax
- (307) 688-6210
- NPI assigned
- Dec 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0958 | WY | Primary |
Addresses
Primary practice location
300 S Burma Ave
Gillette, WY 82716-3415
Mailing address
3407 Foothills Blvd
Gillette, WY 82716-2222
Phone (307) 257-7173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0958 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1801368121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 FOOTHILLS BLVD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827162222",
"telephone_number": "307-257-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BURMA AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163415",
"telephone_number": "307-688-6230",
"fax_number": "307-688-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSEL",
"first_name": "MARIA TERESA",
"middle_name": "REMOLANA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "0958",
"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 Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.