Kebrina Nichole Vinglas, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2210PT Issued in MT

Practice address

1532 Ellis St
Bozeman, MT 59715-8808

Phone

(406) 586-5694

Fax

(406) 586-5694

NPI assigned

Dec 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kebrina Nichole Martell Former name

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.

• Ridgeline Rehab PC

  • Physical Therapy Clinic/Center
  • Bozeman, MT
  • NPI 1962752782

  Orthopedic

  NPD (past) Authorized official
• Freestone Rehabilitation, Inc

  • Customized Equipment (DME)
  • Bozeman, MT
  • NPI 1760675664
  NPD (past)
• Lone Peak Physical Therapy at Belgrade

  • Orthopedic Physical Therapist
  • Belgrade, MT
  • NPI 1912201005

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1386974095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 SUMMER RIDGE RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157781",
            "telephone_number": "406-600-4822",
            "fax_number": "406-586-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 ELLIS ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158808",
            "telephone_number": "406-586-5694",
            "fax_number": "406-586-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINGLAS",
        "first_name": "KEBRINA",
        "middle_name": "NICHOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "2210PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEBRINA",
            "last_name": "MARTELL",
            "middle_name": "NICHOLE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vibrant Life Therapy LLC
• Jennifer Viciedo, M.S., LCPC
• Vigilant Anesthesia Services LLC
• Catalina Villa, M.D.
• Derek Gavin Vines, M.D.
• Richard N Vinglas, MD
• Christine S. Visscher, LCSW
• Noah Visscher, MSA
• Paul August Visscher, M.D.
• Visual Edge, Inc

• All providers in Bozeman, MT
• Orthopedic Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.