Active NPI
Taylor Chadwick, DPT
- Physical Therapist
- Kalispell, MT
National Provider Identifier
1275914434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3805
- Practice address
- 1234 Whitefish Stage
Kalispell, MT 59901-2753 - Phone
- (406) 756-7878
- Fax
- (406) 257-7811
- NPI assigned
- Jun 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3805 | ID | Primary |
Addresses
Primary practice location
1234 Whitefish Stage
Kalispell, MT 59901-2753
Mailing address
1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone (406) 756-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813012529 | MT | Practitioner - Physical Therapist in Private Practice | 5496060824 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Performance and Rehabilitation Services Inc
Practice addresses (Care Compare)
1532 Ellis St
Suite 201
Bozeman, MT 59715-8809
Phone (406) 587-4501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3805 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Performance & Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
1532 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 587-4501
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bozeman, MT
- NPI 1326064916
MT, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434153600000",
"number": "1275914434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 WHITEFISH STAGE",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012753",
"telephone_number": "406-756-7878",
"fax_number": "406-257-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 WHITEFISH STAGE",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012753",
"telephone_number": "406-756-7878",
"fax_number": "406-257-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "TAYLOR",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-13",
"last_updated": "2015-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "3805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2015; 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.