Tracy Devall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1552PT Issued in MT

Practice address

3802 Eastside Hwy
Stevensville, MT 59870-2224

Phone

(406) 777-3523

Fax

(406) 777-3523

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Physical Therapy PLLCGroup PAC ID 7618959495, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b2651172-99ed-43dd-9814-59d9dbd8df43/

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.

• Valley Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1487687091

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Functional Performance Therapy, Inc.

  • Pediatric Occupational Therapist
  • Missoula, MT
  • NPI 1811141914
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245317007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MCCARTHY LOOP",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598409146",
            "telephone_number": "406-777-3523",
            "fax_number": "406-777-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 EASTSIDE HWY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702224",
            "telephone_number": "406-777-3523",
            "fax_number": "406-777-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALL",
        "first_name": "TRACY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1552PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345712",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bria A Dunkin, PSY.D.
• Rhonda Eickholt, MHAPRN P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.