Individual provider Active NPI

Kristine R Peterson, PT

  • Orthopedic Physical Therapist
  • Billings, MT
National Provider Identifier
1194987149
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2150PT Issued in MT
Practice address
1323 Main St
Suite B
Billings, MT 59105-1741
Phone
(406) 896-1397
Fax
(406) 896-1711
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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 2150PT MT
Orthopedic Physical Therapist 2251X0800X 2150PT MT Primary

Addresses

Primary practice location

1323 Main St
Suite B
Billings, MT 59105-1741

Mailing address

2900 12TH Ave N Ste 140W
Billings, MT 59101-7507
Phone (406) 237-5050

Other identifiers 1

IdentifierTypeStateIssuer
2150PTOtherMTLICENSE

Other names 1

  • Ms. Kristine R Campbell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000312 MT Practitioner - Physical Therapist in Private Practice 8426118928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Montana, PSCGroup PAC ID 5193627404, 41 clinicians

Practice addresses (Care Compare)

2900 12TH Ave N
Suite 140W
Billings, MT 59101-7507
Phone (406) 237-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2150PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Montana, PSC CurrentSince Jun 30, 2008 Accepting new patients
Ortho Montana, PSC CurrentSince Jun 30, 2008 Accepting new patients

Locations

1635 Gleneagles Blvd
Billings, MT 59105
Phone (406) 896-1397

2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050

1739 Spring Creek Rd
Ste 200
Billings, MT 59102

1323 Main St
Ste B
Billings, MT 59105
Phone (406) 237-5050

1739 Spring Creek Rd
Billings, MT 59102
Phone (406) 237-5050

Interoperability endpoints

  • Direct secure messaging: kristine.peterson@1146.chartlogic.direct-ci.com

Organizations & group practices 2

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1194987149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 140W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017507",
            "telephone_number": "406-237-5050",
            "fax_number": "406-238-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 MAIN ST",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051741",
            "telephone_number": "406-896-1397",
            "fax_number": "406-896-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KRISTINE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2150PT",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "2150PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2150PT",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "CAMPBELL",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.