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

Mrs. Katelin Renee Tucker, PT, DPT, CERTMDT

Individual provider Physical Therapist · NPI 1568726081

Mrs. Katelin Renee Tucker, PT, DPT, CERTMDT is a Physical Therapist in Private Practice in Lander, Wyoming. Qualified in 2012, 14 years ago. Practices with Elevate Rehab LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
14
Licensed in
WY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

545 E Main St Ste B
Lander, WY 82520-3470
Phone: (307) 335-3471
Fax: (307) 332-5388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT1743 (WY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1568726081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CERTMDT
Sole proprietorNo
NPI enumeratedJune 28, 2012
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Elevate Rehab Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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