Individual provider Active NPI

Joshua Christoferson, DPT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1053988857
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-21619 Issued in MT
Practice address
105 Village Loop Rd Ste a
Kalispell, MT 59901-3281
Phone
(406) 756-7878
Fax
(406) 257-7811
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTP-PT-LIC-21619 MT Primary

Addresses

Primary practice location

105 Village Loop Rd Ste a
Kalispell, MT 59901-3281

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002422 MT Practitioner - Physical Therapist in Private Practice 6901207356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalispell Rehabilitation Associates IncGroup PAC ID 9830183961, 12 clinicians
Lake Health and Rehab, LLCGroup PAC ID 6901059963, 8 clinicians

Practice addresses (Care Compare)

105 Village Loop Rd
Unit a
Kalispell, MT 59901-4188
Phone (406) 756-7878

306 Stoner Loop
Suite 3
Lakeside, MT 59922-8601
Phone (406) 844-0744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Rehabilitation Associates, Inc Physical Therapist CurrentSince Jun 9, 2021 Accepting new patients
Lake Health & Rehab, LLC Physical Therapist CurrentSince Jun 9, 2021 Accepting new patients
Professional Therapy Associates Physical Therapist Past Accepting new patients

Locations

218 Sportsman Ln
#2
Bigfork, MT 59911

218 Sportsman Ln
Ste 2
Bigfork, MT 59911
Phone (406) 420-2350

8111 MT Highway 35
Ste 9
Bigfork, MT 59911
Phone (406) 857-2995

1850 9th St W
Bldg A
Columbia Falls, MT 59912

1850 9th St W
Ste 2
Columbia Falls, MT 59912
Phone (406) 892-7999

105 Village Loop Rd
Unit A
Kalispell, MT 59901
Phone (406) 756-7878

200 E Idaho St
Ste A
Kalispell, MT 59901
Phone (406) 257-5610

306 Stoner Loop
Ste 3
Lakeside, MT 59922
Phone (406) 844-0744

1250 Baker Ave
Ste 1
Whitefish, MT 59937
Phone (406) 756-2555

807 Spokane Ave
Ste 400
Whitefish, MT 59937
Phone (406) 862-5033

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1053988857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VILLAGE LOOP RD STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013281",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFERSON",
        "first_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-21619",
            "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 Jun 9, 2021; 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.