Individual provider Active NPI

Heather King, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1326749300
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-27188 Issued in MT
Practice address
3400 Laramie Dr
Bozeman, MT 59718-2005
Phone
(406) 587-0122
Fax
(844) 656-2480
NPI assigned
Mar 15, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 PTP-PT-PRV-26052 MT
Physical Therapist 225100000X PTP-PT-LIC-27188 MT Primary

Addresses

Primary practice location

3400 Laramie Dr
Bozeman, MT 59718-2005

Mailing address

82 Skyline Dr
Bozeman, MT 59715-7670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830002414 MT Practitioner - Physical Therapist in Private Practice 1153784780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

1610 Ellis St
Suite 2a
Bozeman, MT 59715-8854
Phone (406) 587-0122

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-27188MTMDPhysical Therapist
PTP-PT-PRV-26052MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Aug 4, 2023 Accepting new patients
Bridger Orthopedic Walk in Clinic PC Physical Therapist Past Accepting new patients

Locations

101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

1610 Ellis St
Ste 2A
Bozeman, MT 59715

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 404-6983

Interoperability endpoints

  • Direct secure messaging: heather.king.1@12906.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1326749300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SKYLINE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LARAMIE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182005",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HEATHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-PRV-26052",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-27188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2023; 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.