Marybeth L Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2011014903 Issued in MO

Practice address

600 Mt Highway 91 S
Dillon, MT 59725-7379

Phone

(406) 683-3000

NPI assigned

Jun 16, 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

Electronic endpoints 1

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

Group practices

Barrett Hospital Development CorporationGroup PAC ID 4082904487, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwilson387898@wm.providencedirect.org

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.

• Barrett Hospital Development Corporation

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1396286480

  MT

  Medicare reassignment Care Compare group NPD
• Barrett Hospital Development Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillon, MT
  • NPI 1326419102
  Care Compare group NPD (past)
• Barrett Hospital Development Corporation

  • Multi-Specialty Clinic/Center
  • Butte, MT
  • NPI 1144039918
  Care Compare group
• Barrett Hospital Development Corporation

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1326042078
  Care Compare group
• Barrett Hospital Development Corporation

  • Multi-Specialty Clinic/Center
  • Twin Bridges, MT
  • NPI 1265319255
  NPD

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1144515263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MT HIGHWAY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597257379",
            "telephone_number": "406-683-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Berrywood Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016517",
            "country_code": "US",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARYBETH",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2011014903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MWILSON387898@WM.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Leigh Wendt, L.M.T
• Jenelle Marie White, PT, DPT
• Kristen Augusta White, MD
• Seth Wiley, PT, DPT
• Ashley Williams, SWLC
• Women'S Resource Center of Dillon
• Susan Xanthopoulos
• Zachary M Oswald PLLC

• All providers in Dillon, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.