William Ervin Lemke, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1150 Issued in WY

Practice address

2 Ponderosa CT
Dubois, WY 82513-9603

Phone

(307) 455-2236

Fax

(307) 455-2236

NPI assigned

Jan 23, 2009

Last updated

Jan 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rejuvenate LLCGroup PAC ID 4486627155, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rejuvenate LLC

  • Physical Therapy Clinic/Center
  • Seeley Lake, MT
  • NPI 1790889855

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• William Lemke Physical Therapy P.C.

  • Physical Therapist
  • Dubois, WY
  • NPI 1427298405
  Authorized official Same address or phone
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)
• William H and Carrie Gottsche Foundation

  dba Gottsche Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  NPD (past)
• Seeley Swan Pharmacy Inc

  dba Seeley Swan Pharmacy

  • Community/Retail Pharmacy
  • Seeley Lake, MT
  • NPI 1134390172
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1912145376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PONDEROSA CT",
            "address_2": "P.O. BOX1353",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825139603",
            "telephone_number": "307-455-2236",
            "fax_number": "307-455-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PONDEROSA CT",
            "city": "DUBOIS",
            "state": "WY",
            "postal_code": "825139603",
            "telephone_number": "307-455-2236",
            "fax_number": "307-455-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "WILLIAM",
        "middle_name": "ERVIN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dubois Vision Center
• Linda Carol Eckley, R.N.
• Guardian Flight LLC
• Stacy M Hutchins, RN
• Kristen Kohlbrand, NP
• Vaughn M Morgan, MD
• Mountain Dental Dubois - Ad LLC
• Mountain Sage Holistic Clinic, LLC
• North Star Physical Therapy, LLC
• Harry Holmes Oakes-Kroeplin

• Physical Therapist in Dubois, WY
• Providers in Dubois, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.