Individual provider Active NPI

Kristine M Pratt, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1285929752
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60220387 Issued in WA
Practice address
630 Boardwalk Ave Ste 1
Bozeman, MT 59718-4118
Phone
(406) 548-6266
Fax
(406) 548-6269
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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 PT60220387 WA Primary

Addresses

Primary practice location

630 Boardwalk Ave Ste 1
Bozeman, MT 59718-4118

Mailing address

PO Box 11629
Bozeman, MT 59719
Phone (406) 522-7488

Other names 1

  • Kristine M Hostager Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007000794 MT Practitioner - Physical Therapist in Private Practice 9931377157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60220387WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc. Physical Therapist CurrentSince Sep 10, 2020 Accepting new patients
Lone Peak Physical Therapy Inc Physical Therapist CurrentSince Sep 10, 2020 Accepting new patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist Past Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

630 Boardwalk Ave
Ste 1
Bozeman, MT 59718
Phone (406) 548-6266

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1285929752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11629",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59719",
            "telephone_number": "406-522-7488",
            "fax_number": "406-522-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BOARDWALK AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184118",
            "telephone_number": "406-548-6266",
            "fax_number": "406-548-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60220387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "HOSTAGER",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 30, 2021; 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.