Jacob Alton Halgren, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-17052 Issued in MT

Practice address

103 Whitewater PL Ste D
Polson, MT 59860-4502

Phone

(406) 883-8101

Fax

(406) 883-8102

NPI assigned

Jun 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kalispell Rehabilitation Associates, Inc

  • Physical Therapist
  • Kalispell, MT
  • NPI 1497752232
  NPD (past)
• Inland Communication & Rehab Associates

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1376893230
  NPD (past)
• Stride Physical Therapy Group, LLC

  • Physical Therapist
  • Saint George, UT
  • NPI 1467044271
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1326532581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WHITEWATER PL STE D",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598604502",
            "telephone_number": "406-883-8101",
            "fax_number": "406-883-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Mt Highway 35 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Bigfork",
            "state": "MT",
            "postal_code": "599113589",
            "country_code": "US",
            "telephone_number": "406-420-2350",
            "fax_number": "406-420-2195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Stoner Loop Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "MT",
            "postal_code": "599228601",
            "country_code": "US",
            "telephone_number": "406-844-0744",
            "fax_number": "406-844-0759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALGREN",
        "first_name": "JACOB",
        "middle_name": "ALTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-17052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Suzanne Gregg, LCPC
• Guiding Sage Counseling
• Daniel A Gullotta, P.T.,M.A.
• Aimee Jean Gustafson, D.D.S.
• Aron Haire, DO
• Anthony Milton Hallock, PHARM.D.
• Mariah Hamel
• Kim Dalene Harding, LCPC, LAC, MHPP
• Cara J Harrop, MD
• David Paul Hebert, RPH

• Physical Therapist in Polson, MT
• Providers in Polson, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.