NPIMap

Individual provider Active NPI

Garren Allred, DPT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1396106985
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-20168 Issued in MT
Practice address
245 Windward Way Ste 101
Kalispell, MT 59901-3385
Phone
(406) 756-8488
Fax
(406) 758-3234
NPI assigned
Mar 10, 2016
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 PT-4418 ID
Physical Therapist 225100000X PTP-PT-LIC-20168 MT Primary

Addresses

Primary practice location

245 Windward Way Ste 101
Kalispell, MT 59901-3385

Mailing address

245 Windward Way Ste 101
Kalispell, MT 59901-3385
Phone (406) 756-8488

Other practice location 1

179 SW 5th Ave
Meridian, ID 83642-2995
Phone (208) 367-8282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Krmcmedicalrecords@krhdirect.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428002276 MT Practitioner - Physical Therapist in Private Practice 8921416116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

245 Windward Way
Suite 101
Kalispell, MT 59901-3385
Phone (406) 758-8488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-4418IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center, Inc CurrentSince Apr 12, 2021 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Apr 12, 2021 Accepting new patients
Kalispell Regional Medical Center, Inc Past Accepting new patients

Locations

245 Windward Way
Ste 101
Kalispell, MT 59901
Phone (406) 756-8488

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1396106985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WINDWARD WAY STE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013385",
            "telephone_number": "406-756-8488",
            "fax_number": "406-758-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WINDWARD WAY STE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013385",
            "telephone_number": "406-756-8488",
            "fax_number": "406-758-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 SW 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422995",
            "country_code": "US",
            "telephone_number": "208-367-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "GARREN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4418",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-20168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krmcmedicalrecords@krhdirect.org",
            "affiliation": "N",
            "address_1": "245 Windward Way Ste 101",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Mar 11, 2021; 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.