Stephanie Barker, PTA
Individual provider Active NPI Physical Therapist · Gillette, WY
NPI 1861363483 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1861363483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTA-1179 (WY)
- Practice address
- 305 E Lakeway Rd
Gillette, WY 82718-6301 - Phone
- (307) 696-6045
- Fax
- (307) 696-6046
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-1179 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
305 E Lakeway Rd
Gillette, WY 82718
Phone (307) 696-6045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTA-1179 | WY | Yes |
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
Other providers in Gillette, WY
- Barber Creek Counseling LLC
- Linda Barbour
- Tomi Leigh Barbour
- Brittney C Barelman
- Robert William Barelman
- Desiray Lynn Barnes
- Jolene Janette Barth
- Elizabeth Ann Beatty
- David A Beck
- Travis Beck
All providers in Gillette, WY · Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.