Active NPI
Karla Gail Edwards, PT
- Physical Therapist
- Bozeman, MT
National Provider Identifier
1013935584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1099PT
- Practice address
- 1532 Ellis Street
Ste 201
Bozeman, MT 59715 - Phone
- (406) 587-4501
- Fax
- (406) 587-3919
- NPI assigned
- Jul 17, 2006
- 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 | 1099PT | MT | Primary |
Addresses
Primary practice location
1532 Ellis Street
Ste 201
Bozeman, MT 59715
Mailing address
1532 Ellis Street
Ste 201
Bozeman, MT 59715
Phone (406) 587-4501
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000060226 | Other | MT | BCBS OF MT |
| 0349388 | Medicaid | MT | |
| M000005857 | Other | MT | MEDICARE |
| P00016286 | Other | MT | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 1099 | MT | MD | Chiropractor |
| 1099PT | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Performance & Rehabilitation Services Inc | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Bozeman, MT
- NPI 1326064916
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1013935584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 ELLIS STREET",
"address_2": "STE 201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-587-4501",
"fax_number": "406-587-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 ELLIS STREET",
"address_2": "STE 201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-587-4501",
"fax_number": "406-587-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KARLA",
"middle_name": "GAIL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1099PT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT",
"identifier": "000060226",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0349388",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M000005857",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00016286",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.