NPIMap

Individual provider Active NPI

Frank Robin Haidle, PT

  • Physical Therapist
  • Eureka, MT
National Provider Identifier
1124065776
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
783PT Issued in MT
Practice address
1343 US Highway 93 N
Eureka, MT 59917-9503
Phone
(406) 297-3915
Fax
(406) 297-3364
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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 783PT MT Primary

Addresses

Primary practice location

1343 US Highway 93 N
Eureka, MT 59917-9503

Mailing address

PO Box 1456
Eureka, MT 59917-1456
Phone (406) 297-3915

Other identifiers 2

IdentifierTypeStateIssuer
1124065776MedicaidMT
1124065776OtherMTBCBS

Other names 1

  • Robin Haidle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
783PTMTMDPhysical Therapist
783MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center Inc Past Accepting new patients
University of Montana Past Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients
Kalispell Regional Medical Center Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1124065776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1456",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599171456",
            "telephone_number": "406-297-3915",
            "fax_number": "406-297-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 US HIGHWAY 93 N",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599179503",
            "telephone_number": "406-297-3915",
            "fax_number": "406-297-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDLE",
        "first_name": "FRANK",
        "middle_name": "ROBIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "783PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124065776",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1124065776",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "HAIDLE",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eureka, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.