Individual provider Active NPI

Jesa Marsh, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1194258723
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-11115 Issued in MT
Practice address
2430 N 7TH Ave Ste 2
Bozeman, MT 59715-2598
Phone
(406) 586-2772
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 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 PTP-PT-LIC-11115 MT Primary

Addresses

Primary practice location

2430 N 7TH Ave Ste 2
Bozeman, MT 59715-2598

Mailing address

52 Marsh LN
Sheridan, MT 59749-9601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517002070 MT Practitioner - Physical Therapist in Private Practice 7618244971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

630 Boardwalk Ave
Suite 1
Bozeman, MT 59718-4118
Phone (406) 548-6266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc. Physical Therapist Current Accepting new patients
Alta Physical Therapy & Fitness Inc Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Lone Peak Physical Therapy, Inc. Physical Therapist CurrentSince Apr 9, 2018 Accepting new patients
Lone Peak Physical Therapy Inc Physical Therapist CurrentSince Apr 9, 2018 Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

2430 N 7th Ave
Ste 2
Bozeman, MT 59715
Phone (406) 586-2772

630 Boardwalk Ave
Ste 1
Bozeman, MT 59718
Phone (406) 548-6266

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1194258723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MARSH LN",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597499601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 N 7TH AVE STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152598",
            "telephone_number": "406-586-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-11115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.