Active NPI
Jessica Leeann Abell, PTA
- Physical Therapist
- Kalispell, MT
National Provider Identifier
1164058350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PTP-LIC-151159
- Practice address
- 1825 Highway 93 S. Suite C
Kalispell, MT 59901 - Phone
- (406) 890-2408
- Fax
- (406) 897-2357
- NPI assigned
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PTP-PTP-LIC-151159 | MT | Primary |
Addresses
Primary practice location
1825 Highway 93 S. Suite C
Kalispell, MT 59901
Mailing address
170 Oldenburg Rd
Somers, MT 59932-9714
Phone (406) 212-8328
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PTP-LIC-151159 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1164058350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 OLDENBURG RD",
"city": "SOMERS",
"state": "MT",
"postal_code": "599329714",
"telephone_number": "406-212-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 HIGHWAY 93 S. SUITE C",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-890-2408",
"fax_number": "406-897-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELL",
"first_name": "JESSICA",
"middle_name": "LEEANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PTP-LIC-151159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.