Active NPI
Carol Francom, PTA
- Physical Therapy Assistant
- Polson, MT
National Provider Identifier
1225317324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-2257
- Practice address
- 9 14TH Ave W
Polson, MT 59860-5321 - Phone
- (406) 883-4378
- Fax
- (406) 883-0039
- NPI assigned
- Aug 8, 2011
- Last updated
- Aug 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-2257 | ID | Primary |
| Physical Therapy Assistant | 225200000X | 7585727-2402 | UT |
Addresses
Primary practice location
9 14TH Ave W
Polson, MT 59860-5321
Mailing address
893 E 3200 N
Preston, ID 83263
Phone (208) 705-8263
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 |
|---|---|---|---|
| PTA-2257 | ID | MD | Physical Therapy Assistant |
| 7585727-2402 | UT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1225317324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 E 3200 N",
"city": "PRESTON",
"state": "ID",
"postal_code": "83263",
"telephone_number": "208-705-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 14TH AVE W",
"city": "POLSON",
"state": "MT",
"postal_code": "598605321",
"telephone_number": "406-883-4378",
"fax_number": "406-883-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCOM",
"first_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ID",
"license": "PTA-2257",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "7585727-2402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Polson, MT
- Michael J Flannery, MD
- Megan Elizabeth Fogle
- Naomi Elizabeth Foreman, RN, BSN
- Amelia Grace Forman, CPM, LM, DEM
- Timothy Fox, LAC
- Monica Lyn Franklin, FNP- C
- Ileen Freeman, RPH
- Michael Gene Freeman, RPH
- Fresenius Medical Care of Montana, LLC (Fresenius Medical Care Polson)
- Patricia Louise Frickson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.