Individual provider Active NPI

Sara R Thompson, P T

  • Physical Therapist
  • Green River, WY
National Provider Identifier
1821393158
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
85 Issued in WY
Practice address
1400 Uinta Dr
Green River, WY 82935-5060
Phone
(307) 872-4554
Fax
(307) 872-4595
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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 85 WY Primary

Addresses

Primary practice location

1400 Uinta Dr
Green River, WY 82935-5060

Mailing address

1400 Uinta Dr
Green River, WY 82935-5060
Phone (307) 872-4554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029003476 WY Practitioner - Physical Therapist in Private Practice 7113450198 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
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)

305 E Lakeway Rd
Gillette, WY 82718-6301
Phone (307) 696-6045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
850WYMDRegistered Nurse
85WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William H and Carrie Gottsche Foundation CurrentSince May 19, 2025 Accepting new patients
Momentum Physical Therapy Physical Therapist CurrentSince Aug 8, 2024 Accepting new patients
Power Basin Therapy LLC Physical Therapist CurrentSince Oct 11, 2025 Accepting new patients
Davis Outpatient Therapy LLC Physical Therapist PastSince Aug 8, 2024 Accepting new patients
Wyoming Physical Therapy PC Physical Therapist Past Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince May 19, 2025 Accepting new patients

Locations

305 E Lakeway Rd
Gillette, WY 82718
Phone (307) 696-6045

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

Organizations & group practices 6

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1821393158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355060",
            "telephone_number": "307-872-4554",
            "fax_number": "307-872-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355060",
            "telephone_number": "307-872-4554",
            "fax_number": "307-872-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "P T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.