Individual provider Active NPI

Jared Winslow, DPT

  • Physical Therapist
  • Libby, MT
National Provider Identifier
1134866189
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24315 Issued in MT
Practice address
419 W 9TH St
Libby, MT 59923-1766
Phone
(406) 293-8942
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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 24315 MT Primary

Addresses

Primary practice location

419 W 9TH St
Libby, MT 59923-1766

Mailing address

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Other practice location 1

302 E Missoula Ave Ste 2
Troy, MT 59935-7723
Phone (406) 293-8942

Other identifiers 1

IdentifierTypeStateIssuer
24315OtherMTSTATE PROVIDER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620000789 MT Practitioner - Physical Therapist in Private Practice 3577942721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Rehab IncGroup PAC ID 4587636600, 26 clinicians

Practice addresses (Care Compare)

609 W 8TH St
Unit a
Libby, MT 59923-1827
Phone (406) 293-8942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24315MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Rehab Inc Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince May 18, 2022 Accepting new patients

Locations

7935 MT Highway 35
Ste 203
Bigfork, MT 59911
Phone (406) 837-2458

201 Southside Blvd
Dillon, MT 59725
Phone (406) 683-3675

25 Heritage Way
Kalispell, MT 59901
Phone (406) 407-7990

419 W 9th St
Libby, MT 59923
Phone (406) 293-8942

609 W 8th St
Ste A
Libby, MT 59923
Phone (406) 293-8942

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1134866189",
    "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": "419 W 9TH ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231766",
            "telephone_number": "406-293-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 E Missoula Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MT",
            "postal_code": "599357723",
            "country_code": "US",
            "telephone_number": "406-293-8942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "24315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER LICENSE",
            "identifier": "24315",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.