Individual provider Active NPI

Pieter Albert De Lepper, P.T., OCS, CERT. MDT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1386787059
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
422 Issued in MT
Practice address
40 2ND St E
Suite 222
Kalispell, MT 59901-6110
Phone
(406) 257-8250
Fax
(406) 257-8253
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 422 MT Primary

Addresses

Primary practice location

40 2ND St E
Suite 222
Kalispell, MT 59901-6110

Mailing address

40 2ND St E
Suite 222
Kalispell, MT 59901-6110
Phone (406) 257-8250

Other identifiers 1

IdentifierTypeStateIssuer
3400007MedicaidMT

Other names 1

  • Fred De Lepper Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delepper Physical Therapy PC Physical Therapist PastSince Oct 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386787059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 2ND ST E",
            "address_2": "SUITE 222",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016110",
            "telephone_number": "406-257-8250",
            "fax_number": "406-257-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 2ND ST E",
            "address_2": "SUITE 222",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016110",
            "telephone_number": "406-257-8250",
            "fax_number": "406-257-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEPPER",
        "first_name": "PIETER",
        "middle_name": "ALBERT",
        "credential": "P.T., OCS, CERT. MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400007",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "DE LEPPER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.