Active NPI
Kory Halvorson
- Physical Therapist
- Hamilton, MT
National Provider Identifier
1447982285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24335
- Practice address
- 117 N 4TH St
Hamilton, MT 59840-2400 - Phone
- (406) 363-2494
- NPI assigned
- Jun 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24335 | MT | Primary |
Addresses
Primary practice location
117 N 4TH St
Hamilton, MT 59840-2400
Mailing address
1777 Sunflower LN
Sidney, MT 59270-5708
Phone (406) 489-0136
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24335 | MT | MD | Physical Therapist |
Interoperability endpoints
- kory.halvorson.1@18760.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1447982285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 SUNFLOWER LN",
"city": "SIDNEY",
"state": "MT",
"postal_code": "592705708",
"telephone_number": "406-489-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N 4TH ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402400",
"telephone_number": "406-363-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVORSON",
"first_name": "KORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "24335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.