Individual provider Active NPI

Kendra Underwood, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1396473583
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24490 Issued in MT
Practice address
1001 Oak St Ste 210
Bozeman, MT 59715-8757
Phone
(406) 587-8446
Fax
(406) 587-0898
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 24490 MT Primary

Addresses

Primary practice location

1001 Oak St Ste 210
Bozeman, MT 59715-8757

Mailing address

1001 Oak St BLDG C
Bozeman, MT 59715-8762
Phone (406) 587-8446

Other practice location 1

59 Village Dr
Belgrade, MT 59714
Phone (406) 587-8446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001830 MT Practitioner - Physical Therapist in Private Practice 6204295710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apr Medical LLCGroup PAC ID 1850787714, 3 clinicians

Practice addresses (Care Compare)

1001 Oak St
Bozeman, MT 59715-8762
Phone (406) 587-8446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24490MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apr Medical LLC Physical Therapist CurrentSince Jan 26, 2023 Accepting new patients

Locations

1001 W Oak St
Ste 210
Bozeman, MT 59715
Phone (406) 587-8446

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1396473583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OAK ST BLDG C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158762",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OAK ST STE 210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158757",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "59714",
            "country_code": "US",
            "telephone_number": "406-587-8446",
            "fax_number": "406-587-0898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KENDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "24490",
            "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 15, 2022; 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.