Organization Active NPI

Sound Start Therapy of Montana

  • Speech-Language Pathologist
  • Great Falls, MT
National Provider Identifier
1073386975
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SOUND START THERAPY OF MONTANA
Practice address
629 Coyote LN
Great Falls, MT 59404-3571
Phone
(406) 781-8748
NPI assigned
Nov 1, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sherri R Widhalm, SLPNPI 1013315340
Title
Speech Language Pathologist
Phone
(406) 781-8748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20240307000468 MT Part B Supplier - Clinic/Group Practice 5092151530 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

629 Coyote LN
Great Falls, MT 59404-3571

Mailing address

629 Coyote LN
Great Falls, MT 59404-3571
Phone (406) 781-8748

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2024.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1073386975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 COYOTE LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043571",
            "telephone_number": "406-781-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 COYOTE LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043571",
            "telephone_number": "406-781-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND START THERAPY OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "WIDHALM",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "406-781-8748",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.