Healthcare Provider Details

I. General information

NPI: 1518895143
Provider Name (Legal Business Name): NEW HITES PT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 RICHARDS AVE
GILLETTE WY
82716-3632
US

IV. Provider business mailing address

70 AUGUSTA CIR
GILLETTE WY
82718-6512
US

V. Phone/Fax

Practice location:
  • Phone: 307-299-6068
  • Fax:
Mailing address:
  • Phone: 307-299-6068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RANDAL R HITE
Title or Position: OWNER/CEO
Credential: MPT, SCS, CSCS
Phone: 307-299-6068