Individual provider Active NPI

Jessica Rosencranz, PT

  • Physical Therapist
  • Miles City, MT
National Provider Identifier
1073804530
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2416 Issued in MT
Practice address
1009 Main St
Miles City, MT 59301-3409
Phone
(406) 238-2500
NPI assigned
May 2, 2011
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 2416 MT Primary

Addresses

Primary practice location

1009 Main St
Miles City, MT 59301-3409

Mailing address

618 S Lake Ave
Miles City, MT 59301-4529
Phone (406) 852-7335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000469 MT Practitioner - Physical Therapist in Private Practice 2860650769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Body Shop Physical TherapyGroup PAC ID 5496168783, 5 clinicians

Practice addresses (Care Compare)

1009 Main St
Miles City, MT 59301-3409
Phone (406) 852-7335

117 E Wilson St
Broadus, MT 59317-7525
Phone 40643621100000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2416MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Legacy PT, PLLC Physical Therapist CurrentSince Apr 30, 2021 Accepting new patients
Powder River County Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Powder River County CurrentSince Dec 1, 2025 Accepting new patients
The Body Shop Physical Therapy Physical Therapist CurrentSince Sep 25, 2025 Accepting new patients

Locations

1009 Main St
Miles City, MT 59301
Phone (406) 852-7335

Organizations & group practices 4

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1073804530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S LAKE AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014529",
            "telephone_number": "406-852-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013409",
            "telephone_number": "406-238-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENCRANZ",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.