Individual provider Active NPI

Devyn Rocker

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1174290233
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Westview Park PL
Kalispell, MT 59901-3074
Phone
(406) 393-2474
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 Primary

Addresses

Primary practice location

100 Westview Park PL
Kalispell, MT 59901-3074

Mailing address

65 1St St E Unit 2828
Columbia Falls, MT 59912-7114
Phone (406) 897-2404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drocker@prnpt.com Direct Berube Physical Therapy, Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202003140 MT Practitioner - Physical Therapist in Private Practice 3375933427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy and Sports Rehab PCGroup PAC ID 0143461004, 7 clinicians

Practice addresses (Care Compare)

100 Westview Park PL
Kalispell, MT 59901-3074
Phone (406) 393-2474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinic PLLC CurrentSince May 8, 2023 Accepting new patients
Berube Physical Therapy, Inc CurrentSince Sep 2, 2021 Accepting new patients
Berube Physical Therapy, Inc Physical Therapist CurrentSince Sep 2, 2021 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

906 9th St W
Unit A
Columbia Falls, MT 59912
Phone (406) 206-4180

100 Westview Park Pl
Kalispell, MT 59901
Phone (406) 393-2472

120 W Idaho St
Ste A
Kalispell, MT 59901
Phone (406) 206-4264

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1174290233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 1ST ST E UNIT 2828",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599127114",
            "telephone_number": "406-897-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-393-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKER",
        "first_name": "DEVYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drocker@prnpt.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Berube Physical Therapy, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "906 9th St W Unit A",
            "city": "Columbia Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599123806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 5, 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.