Individual provider Active NPI

Jennifer J Alexander, MPT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1407845217
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1526PT Issued in MT
Practice address
1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone
(406) 756-7878
Fax
(406) 257-7811
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 1526PT MT Primary

Addresses

Primary practice location

1234 Whitefish Stage
Kalispell, MT 59901-2753

Mailing address

1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone (406) 756-7878

Other identifiers 4

IdentifierTypeStateIssuer
0347259MedicaidMT
0197812OtherMTWA STATE WORK COMP PROV #
60098OtherMTBCBS OF MT PROVIDER #
MSF1171435OtherMTMT STATE FUND COMP PROV#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000021 MT Practitioner - Physical Therapist in Private Practice 3870694649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Orthopedic and Sports TherapyGroup PAC ID 9133282965, 4 clinicians

Practice addresses (Care Compare)

576 Spokane Ave
Whitefish, MT 59937-2781
Phone (406) 862-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1526PTMTMDPhysical Therapist
1526MTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Orthopedic & Sports Therapy CurrentSince Sep 1, 2008 Accepting new patients
Kalispell Rehabilitation Associates, Inc Physical Therapist PastSince Jun 25, 2004 Accepting new patients

Locations

576 Spokane Ave
Whitefish, MT 59937
Phone (406) 261-5840

Organizations & group practices 2

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1407845217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012753",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012753",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1526PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347259",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE WORK COMP PROV #",
            "identifier": "0197812",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT PROVIDER #",
            "identifier": "60098",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE FUND COMP PROV#",
            "identifier": "MSF1171435",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "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 Aug 15, 2008; 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.