Monique Krebsbach PT, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

565 Issued in MT

Legal business name

MONIQUE KREBSBACH PT, INC

Practice address

309 SW Higgins Ave
Missoula, MT 59803-1405

Phone

(406) 829-0728

Fax

(406) 327-1215

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Monique Krebsbach, PTNPI 1720028228

Title

Business Owner

Phone

(406) 829-0728

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Krebsbach, PT

  • Physical Therapist
  • Missoula, MT
  • NPI 1720028228
  Medicare reassignment NPD Authorized official
• Christie Browne Peck, DPT

  • Physical Therapist
  • Parker, CO
  • NPI 1780993139

  MT

  Medicare reassignment NPD
• Heidi Dawn Shinn, MSPT

  • Physical Therapist
  • Barrow, AK
  • NPI 1952489353

  MT

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1235309725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SW HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031405",
            "telephone_number": "406-829-0728",
            "fax_number": "406-327-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SW HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031405",
            "telephone_number": "406-829-0728",
            "fax_number": "406-327-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE KREBSBACH PT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KREBSBACH",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "406-829-0728",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "565",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.