Individual provider Active NPI

Stephanie Barker, PTA

  • Physical Therapist
  • Gillette, WY
National Provider Identifier
1861363483
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTA-1179 Issued in WY
Practice address
305 E Lakeway Rd
Gillette, WY 82718-6301
Phone
(307) 696-6045
Fax
(307) 696-6046
NPI assigned
Sep 16, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 PTA-1179 WY Primary

Addresses

Primary practice location

305 E Lakeway Rd
Gillette, WY 82718-6301

Mailing address

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

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

LicenseStateTypeSpecialty
PTA-1179WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1861363483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E LAKEWAY RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186301",
            "telephone_number": "307-696-6045",
            "fax_number": "307-696-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E LAKEWAY RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186301",
            "telephone_number": "307-696-6045",
            "fax_number": "307-696-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "STEPHANIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PTA-1179",
            "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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.