Jake Bartschi
Individual provider Active NPI Physical Therapist · Corvallis, MT
NPI 1306559554 · NPPES record last updated Jan 3, 2023
Key facts
- NPI
- 1306559554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 24757 (MT)
- Practice address
- 1016 Brooks Ave
Corvallis, MT 59828-9340 - Phone
- (406) 961-3481
- NPI assigned
- Jan 3, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230918003035 | MT | Practitioner - Physical Therapist in Private Practice | 1052775483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24757 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current |
Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current |
Accepting new patients |
Locations
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24757 | MT | Yes |
Addresses
Primary practice location
1016 Brooks Ave
Corvallis, MT 59828-9340
Mailing address
1016 Brooks Ave
Corvallis, MT 59828-9340
Other providers in Corvallis, MT
- Carla R Albert
- Karen Lee Anderson
- Arron Care Home Inc
- Bear Creek Wellness Center LLC
- Bitterroot Physical Therapy LLC
- David J. Charlton
- Rachel Jo Chinikaylo
- Gayle Christensen
All providers in Corvallis, MT · Physical Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.