Active NPI
Dustin Lind, DPT, CSCS
- Physical Therapist
- Stevensville, MT
National Provider Identifier
1023538998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12977
- Practice address
- 212 Main St
Stevensville, MT 59870-2111 - Phone
- (406) 777-5354
- NPI assigned
- Jun 22, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- 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 | 12977 | MT | Primary |
Addresses
Primary practice location
212 Main St
Stevensville, MT 59870-2111
Mailing address
1710 Cinnabar Dr
Missoula, MT 59801-7077
Other practice location 1
203 Rodeo Dr. #1
Florence, MT 59833-5983
Phone (406) 273-9033
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 |
|---|---|---|---|
| 12977 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023538998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 CINNABAR DR",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 MAIN ST",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702111",
"telephone_number": "406-777-5354"
}
],
"practiceLocations": [
{
"address_1": "203 Rodeo Dr. #1",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "MT",
"postal_code": "598335983",
"country_code": "US",
"telephone_number": "406-273-9033",
"fax_number": "406-273-9033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIND",
"first_name": "DUSTIN",
"credential": "DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "12977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stevensville, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.