Individual provider Active NPI

Baylee Joe Pletan, PT, DPT

  • Physical Therapist
  • Fromberg, MT
National Provider Identifier
1114700705
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27214 Issued in MT
Practice address
587 Joliet Fromberg Rd
Fromberg, MT 59029-9501
Phone
(406) 913-9728
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27214 MT Primary

Addresses

Primary practice location

587 Joliet Fromberg Rd
Fromberg, MT 59029-9501

Mailing address

587 Joliet Fromberg Rd
Fromberg, MT 59029-9501
Phone (406) 913-9728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231002001172 ND Practitioner - Physical Therapist in Private Practice 2365896974 Reassigns benefits to 1 organization
I20231005003562 MT Practitioner - Physical Therapist in Private Practice 2365896974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Therapy Solutions and Consulting LLCGroup PAC ID 1759703192, 17 clinicians

Practice addresses (Care Compare)

2550 Windsor PL N
Mandan, ND 58554-8151
Phone (701) 320-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27214MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapy Solutions & Consulting LLC Physical Therapist CurrentSince Aug 16, 2023 Accepting new patients

Organizations & group practices 2

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1114700705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 JOLIET FROMBERG RD",
            "city": "FROMBERG",
            "state": "MT",
            "postal_code": "590299501",
            "telephone_number": "406-913-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 JOLIET FROMBERG RD",
            "city": "FROMBERG",
            "state": "MT",
            "postal_code": "590299501",
            "telephone_number": "406-913-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLETAN",
        "first_name": "BAYLEE",
        "middle_name": "JOE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "27214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fromberg, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.