Jaclyn Catharine Carson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2309 Issued in MT

Practice address

2207 S 3Rd St W
Missoula, MT 59801-1334

Phone

(406) 549-5283

NPI assigned

Jul 10, 2010

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

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of MontanaGroup PAC ID 7719899889, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Montana

  • Physical Therapist
  • Missoula, MT
  • NPI 1578585592
  Medicare reassignment Care Compare group NPD
• The University of Montana

  • Speech-Language Pathologist
  • Missoula, MT
  • NPI 1548537434
  NPD
• University of Montana

  • Pharmacy
  • Missoula, MT
  • NPI 1366593345
  NPD
• University of Montana

  • Physical Therapist
  • Missoula, MT
  • NPI 1588022594
  NPD (past)

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1275845992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011334",
            "telephone_number": "406-549-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011334",
            "telephone_number": "406-549-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JACLYN",
        "middle_name": "CATHARINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Patrick Carney
• Glenyss Ammons Carney, LCPC
• Brenda Carpenter, RN
• Jordan Carr, MSW, SWLC
• Margaree Carr, DMD
• Rebecca Carson, PCLC
• Laurie Liang Carter, MD
• Case Management Caregiving, LLC
• Case Management Collaborative
• Shelby M Casebolt, L.M.T.

• 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 Jul 10, 2010; 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.