Kelsi Ranae Wilson, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-1764 Issued in MT

Practice address

701 Stock St
Big Timber, MT 59011-8071

Phone

(406) 932-2451

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

No

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

• Pioneer Medical Center

  • Critical Access Hospital
  • Big Timber, MT
  • NPI 1003939190
  NPD (past)
• Pioneer Medical Center

  • Rural Health Clinic/Center
  • Big Timber, MT
  • NPI 1275690208
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2013.

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1083049522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590111228",
            "telephone_number": "406-932-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STOCK ST",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590118071",
            "telephone_number": "406-932-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KELSI",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweet Grass County High School
• Sweet Grass Pharmacy, LLC
• Wallace Chester Walker, MD
• Sarah Walton, FNP
• Nichole Whitney, DPT
• Windhaven Counseling

• All providers in Big Timber, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.