Active NPI
Kristine M Pratt, DPT
- Physical Therapist
- Bozeman, MT
National Provider Identifier
1285929752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60220387
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60220387 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Peak Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Lone Peak Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Big Sky, MT
- NPI 1477678969
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1740070564
Physical Therapist
-
- Physical Therapist
- Maple Valley, WA
- NPI 1730394420
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.