Active NPI
Erica L Kepner, DPT
- Physical Therapist
- Eureka, MT
National Provider Identifier
1104187574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4383
- Practice address
- 604 1St Ave. E
Eureka, MT 59917 - Phone
- (406) 855-6439
- NPI assigned
- Jun 1, 2012
- Last updated
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4383 | MT | Primary |
Addresses
Primary practice location
604 1St Ave. E
Eureka, MT 59917
Mailing address
PO Box 2396
Eureka, MT 59917-2396
Phone (406) 855-6439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121012000807 | MT | Practitioner - Physical Therapist in Private Practice | 9335398007 | Practice locations: Eureka, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
604 1St Ave E
Eureka, MT 59917-9998
Phone (406) 855-6439
PO Box
Suite 2396
Eureka, MT 59917-2396
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4383 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1104187574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2396",
"city": "EUREKA",
"state": "MT",
"postal_code": "599172396",
"telephone_number": "406-855-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 1ST AVE. E",
"city": "EUREKA",
"state": "MT",
"postal_code": "59917",
"telephone_number": "406-855-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPNER",
"first_name": "ERICA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2024-12-20",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "4383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, MT
- Innerchange Chrysalis, LLC
- Innerchange Chrysalis, LLC
- Kalispell Regional Medical Center Inc (Logan Health Specialty Care)
- Kalispell Regional Medical Center Inc (Eureka Health Therapy Center)
- Kalispell Regional Medical Center Inc (Eureka Health Prompt Care)
- Danielle Kimbrell, LCSW
- Jenny M Komac, D.C.
- Kootenai Vision Centers PC
- Larry J Lawler, M.S.C, L.C.P.C
- Karen Joann Lee, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.