Individual provider Active NPI

Kelsey Williams

  • Physical Therapy Assistant
  • Gillette, WY
National Provider Identifier
1932806262
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0965 Issued in WY
Practice address
1013 E Boxelder Rd Ste 100
Gillette, WY 82718-5936
Phone
(307) 682-4900
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0965 WY Primary

Addresses

Primary practice location

1013 E Boxelder Rd Ste 100
Gillette, WY 82718-5936

Mailing address

3709 Federal Ave
Gillette, WY 82718-6575

Other practice location 1

620 Four-J Ct Unit B
Gillette, WY 82716-4130
Phone (307) 686-2569

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
0965WYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Orthopaedic Associates PC PastSince Feb 12, 2023 Accepting new patients
Gillette Physical Therapy PC PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 2

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1932806262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 FEDERAL AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E BOXELDER RD STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185936",
            "telephone_number": "307-682-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Four-J Ct Unit B",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827164130",
            "country_code": "US",
            "telephone_number": "307-686-2569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "0965",
            "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 Feb 9, 2023; 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.