Kristin Stockham-Baller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2420 Issued in MT

Practice address

38 Bruyer Way
Kalispell, MT 59901-6334

Phone

(406) 300-4847

NPI assigned

Sep 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Core Physical Therapy LLC

  • Physical Therapist
  • Kalispell, MT
  • NPI 1730912684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1104109875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BRUYER WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016334",
            "telephone_number": "406-300-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHAM-BALLER",
        "first_name": "KRISTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise M Stimpfling, LAC, BA
• Kim D Stimpson, MD
• Emma Stine
• Valerie Stine, MD
• Kayla Stinger
• William Wade Stoddard, M.D.
• Stoick Drug L L C
• Carrianne Stoker-Postier, LCSW
• Alyssa M. Stone, PA-C
• Barbara Louise Stone, PH.D PSYCHOLOGIST

• Physical Therapist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.