Individual provider Active NPI

Timothy J Whalen, DPT

  • Physical Therapist
  • Libby, MT
National Provider Identifier
1326453705
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7761 Issued in MT
Practice address
419 W 9TH St
Libby, MT 59923-1766
Phone
(406) 293-8942
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2014020013 MO
Physical Therapist 225100000X 7761 MT Primary

Addresses

Primary practice location

419 W 9TH St
Libby, MT 59923-1766

Mailing address

111 Sunnyview LN
Ste B
Kalispell, MT 59901-3164
Phone (406) 752-3597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150321000098 MT Practitioner - Physical Therapist in Private Practice 3274850771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Rehab IncGroup PAC ID 4587636600, 26 clinicians

Practice addresses (Care Compare)

609 W 8TH St
Unit a
Libby, MT 59923-1827
Phone (406) 293-8942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014020013MOMDPhysical Therapist
7761MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Rehab Inc Physical Therapist CurrentSince Mar 2, 2015 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince Mar 2, 2015 Accepting new patients
Medical Development Corporation Past Accepting new patients

Locations

7935 MT Highway 35
Ste 203
Bigfork, MT 59911
Phone (406) 837-2458

201 Southside Blvd
Dillon, MT 59725
Phone (406) 683-3675

25 Heritage Way
Kalispell, MT 59901
Phone (406) 407-7990

111 Sunnyview Ln
Ste B
Kalispell, MT 59901
Phone (406) 407-7990

609 W 8th St
Ste A
Libby, MT 59923
Phone (406) 293-8942

419 W 9th St
Libby, MT 59923
Phone (406) 293-8942

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1326453705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LN",
            "address_2": "STE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013164",
            "telephone_number": "406-752-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W 9TH ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231766",
            "telephone_number": "406-293-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014020013",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "7761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.