Active NPI
Kelsey Williams
- Physical Therapy Assistant
- Gillette, WY
National Provider Identifier
1932806262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0965 | WY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casper Orthopaedic Associates PC | Past | Accepting new patients | |
| Gillette Physical Therapy PC | Past | 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.
-
- Orthopaedic Surgery Physician
- Casper, WY
- NPI 1962494864
-
- Physical Therapist
- Gillette, WY
- NPI 1154379998
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.