Individual provider Active NPI

Garrett Lee McNeil, DPT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1053020941
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24664 Issued in MT
Practice address
2593 Highway 2 East
Suite 6
Kalispell, MT 59901
Phone
(406) 257-0933
Fax
(406) 257-3426
NPI assigned
Nov 18, 2022
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 24664 MT Primary

Addresses

Primary practice location

2593 Highway 2 East
Suite 6
Kalispell, MT 59901

Mailing address

2593 Highway 2 East
Suite 6
Kalispell, MT 59901
Phone (406) 257-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000982 MT Practitioner - Physical Therapist in Private Practice 5991175028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Physical Therapy and Fitness Center LLCGroup PAC ID 7618398165, 3 clinicians

Practice addresses (Care Compare)

2593 Hwy 2 E
Suite 6
Kalispell, MT 59901
Phone (406) 257-0933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24664MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Physical Therapy and Fitness Center LLC Physical Medicine & Rehabilitation CurrentSince Nov 29, 2022 Accepting new patients
Mountain Physical Therapy, PC Physical Therapist Past Accepting new patients
Mountain Physical Therapy, P.C. Physical Therapist PastSince Jan 1, 2004 Accepting new patients

Locations

2 6th Ave W
Kalispell, MT 59901
Phone (406) 257-0933

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1053020941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 HIGHWAY 2 EAST",
            "address_2": "SUITE 6",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-257-0933",
            "fax_number": "406-257-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 HIGHWAY 2 EAST",
            "address_2": "SUITE 6",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-257-0933",
            "fax_number": "406-257-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "GARRETT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-03-02",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "24664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.