Active NPI
Timothy J Whalen, DPT
- Physical Therapist
- Libby, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014020013 | MO | MD | Physical Therapist |
| 7761 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedic Rehab Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Kalispell, MT
- NPI 1902976749
-
- Prosthetic/Orthotic Supplier
- Columbia Falls, MT
- NPI 1801413745
Physical Therapist
-
- Primary Care Nurse Practitioner
- Kalispell, MT
- NPI 1528435542
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.