Individual provider Active NPI

Kylie A Metzger, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1285314112
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27119 Issued in MT
Practice address
1823 W College St Ste 100
Bozeman, MT 59715-4915
Phone
(406) 556-0562
Fax
(406) 556-0965
NPI assigned
Jul 25, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27119 MT Primary

Addresses

Primary practice location

1823 W College St Ste 100
Bozeman, MT 59715-4915

Mailing address

1823 W College St Ste 100
Bozeman, MT 59715-4915
Phone (406) 556-0562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810001053 MT Practitioner - Physical Therapist in Private Practice 9739541509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Orthopedic Physical Therapy Limited PartnershipGroup PAC ID 7416332549, 9 clinicians

Practice addresses (Care Compare)

1823 W College St
Suite 100
Bozeman, MT 59715-4915
Phone (406) 556-0562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27119MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Orthopedic Physical Therapy, Inc. Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Excel Orthopedic Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1285314112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 W COLLEGE ST STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154915",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 W COLLEGE ST STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154915",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "KYLIE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "27119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.