Active NPI
Carly Keene
- Massage Therapist
- Missoula, MT
National Provider Identifier
1225685399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-LIC-11719
- Practice address
- 2801 Great Northern Loop
Missoula, MT 59808-1745 - Phone
- (406) 549-9100
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT-LIC-11719 | MT | Primary |
Addresses
Primary practice location
2801 Great Northern Loop
Missoula, MT 59808-1745
Mailing address
2801 Great Northern Loop
Missoula, MT 59808-1745
Phone (406) 549-9100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.wchiropractic.com |
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 |
|---|---|---|---|
| LMT-LIC-11719 | MT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Chiropractic Incorporated | Single Specialty | Current | Accepting new patients |
| Tall Pines Chiropractic, P.C. | Single Specialty | Past | Accepting new patients |
Locations
2801 Great Northern Loop
Missoula, MT 59808
Phone (406) 549-9100
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": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1225685399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 GREAT NORTHERN LOOP",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081745",
"telephone_number": "406-549-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 GREAT NORTHERN LOOP",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081745",
"telephone_number": "406-549-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENE",
"first_name": "CARLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MT",
"license": "LMT-LIC-11719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.wchiropractic.com",
"affiliation": "N",
"address_1": "2801 Great Northern Loop",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598081745",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.