Active NPI
Sarah M Thrailkill, DPT
- Physical Therapist
- Gillette, WY
National Provider Identifier
1942436530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1193
- Practice address
- 1801 S 4J Rd
Gillette, WY 82718-5201 - Phone
- (076) 822-3923
- NPI assigned
- Jun 9, 2009
- Last updated
- Nov 18, 2021
- 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 Therapist | 225100000X | PT-1193 | WY | Primary |
Addresses
Primary practice location
1801 S 4J Rd
Gillette, WY 82718-5201
Mailing address
1801 S 4J Rd
Gillette, WY 82718-5201
Phone (307) 682-2392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942436530 | Medicaid | WY | |
| LICENSE # PT1193 | Other | WY | LICENSE # PT 1193 |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193 | WY | MD | Clinical Social Worker |
| PT-1193 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Developmental Services of Campbell County | Past | Accepting new patients |
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.
-
- Clinic/Center
- Gillette, WY
- NPI 1801088497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1942436530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 S 4J RD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185201",
"telephone_number": "307-682-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S 4J RD",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185201",
"telephone_number": "076-822-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRAILKILL",
"first_name": "SARAH",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-1193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942436530",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE # PT 1193",
"identifier": "LICENSE # PT1193",
"state": "WY"
}
],
"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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.