Carly Hilley Wolstein, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9317 Issued in MT

Practice address

850 Holt Dr
Bigfork, MT 59911-6218

Phone

(406) 837-3255

Fax

(406) 837-3256

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 2015By the provider in NPPES

Sex

Female

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

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Bend Physical Therapy and Preventative Care LLCGroup PAC ID 0345563995, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• River Bend Physical Therapy and Preventative Care, LLC

  • Physical Therapy Clinic/Center
  • Bigfork, MT
  • NPI 1821497462
  Medicare reassignment Care Compare group NPD
• Bigfork Physical Therapy & Sports Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Bigfork, MT
  • NPI 1649277799
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1366813776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HOLT DR",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599116218",
            "telephone_number": "406-837-3255",
            "fax_number": "406-837-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOLT DR",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599116218",
            "telephone_number": "406-837-3255",
            "fax_number": "406-837-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSTEIN",
        "first_name": "CARLY",
        "middle_name": "HILLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "9317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.