Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elijah Lee

Individual provider Physical Therapist · NPI 1376307512

Elijah Lee is a Physical Therapist in Private Practice in Douglas, Wyoming. Qualified in 2023, 3 years ago. Practices with Big Country Rehabilitation LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
3
Licensed in
WY
In the registry since
2024
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Practice location Address checks out

111 S 5th St
Douglas, WY 82633-2434
Phone: (307) 358-9464
Fax: (307) 358-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2360 (WY)

Record details

NPI number1376307512
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing addressPo Box 1790, Douglas, WY 82633-1790

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Big Country Rehabilitation Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Douglas