Individual provider Active NPI

Laura M Opstedal, DPT

  • Orthopedic Physical Therapist
  • Belfair, WA
National Provider Identifier
1194890780
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4856 Issued in MT
Practice address
21 NE Romance Hill Rd Ste 101
Belfair, WA 98528
Phone
(360) 275-6612
Fax
(360) 275-6658
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008528 WA
Orthopedic Physical Therapist 2251X0800X 4856 MT Primary

Addresses

Primary practice location

21 NE Romance Hill Rd Ste 101
Belfair, WA 98528

Mailing address

9840 Prairie Rd
Manhattan, MT 59741-8635
Phone (406) 640-2024

Other identifiers 4

IdentifierTypeStateIssuer
228242OtherWAL&I
8369225OtherWACHPW
7563OPOtherWAREGENCE
8946319OtherWAL&I CRIME

Other names 1

  • Laura M Kalinski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000314 MT Practitioner - Physical Therapist in Private Practice 4880778414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Build Physio and Performance PLLCGroup PAC ID 3274878020, 5 clinicians

Practice addresses (Care Compare)

609 Pronghorn TRL
Bozeman, MT 59718-7090
Phone (406) 580-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4856MTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Apr 29, 2013 Accepting new patients
Build Physio & Performance, PLLC Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients
Independent Physical Therapy, Inc Physical Therapist Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince Dec 8, 2005 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

609 Pronghorn Trl
Bozeman, MT 59718
Phone (406) 580-0803

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

1532 Ellis St
Ste 103
Bozeman, MT 59715
Phone (406) 586-5694

609 Pronghorn Trl
Ste C
Bozeman, MT 59718
Phone (406) 580-0803

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1194890780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 PRAIRIE RD",
            "city": "MANHATTAN",
            "state": "MT",
            "postal_code": "597418635",
            "telephone_number": "406-640-2024",
            "fax_number": "406-258-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NE ROMANCE HILL RD STE 101",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "98528",
            "telephone_number": "360-275-6612",
            "fax_number": "360-275-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPSTEDAL",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008528",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "228242",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHPW",
            "identifier": "8369225",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7563OP",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME",
            "identifier": "8946319",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KALINSKI",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belfair, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.