Alice Laverdiere, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

11243 Issued in MT

Practice address

3335 LT Moss Rd
Missoula, MT 59804-7222

Phone

(406) 549-6413

Fax

(406) 542-0143

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peds Teletherapy

  • Pediatric Physical Therapist
  • Missoula, MT
  • NPI 1275198996

  Pediatrics

  NPD (past) Authorized official
• Child Development Center, Inc

  • Behavior Analyst
  • Missoula, MT
  • NPI 1669642393
  NPD
• Child Development Center, Inc

  • Behavior Analyst
  • Missoula, MT
  • NPI 1750422978
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1457400970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047222",
            "telephone_number": "406-549-6413",
            "fax_number": "406-542-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047222",
            "telephone_number": "406-549-6413",
            "fax_number": "406-542-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERDIERE",
        "first_name": "ALICE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "13006",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MT",
            "license": "11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alice@pedsteletherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6062 Lower Miller Creek Rd",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598039625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laurence V. Ayres, MD, PC
• Laurie Childs Speech-Language Pathology LLC
• Jeri Lausch
• Alyssa Rae Lautenschlager, M.D.
• McKenna Renee Lavalley
• Chiara Lawrence, MD
• Johanna Cristol Lawrence, LCSW
• Benjamin Lawson
• Thomas Andrew Layne, M.D.
• Viet Quoc Le, OTR

• Pediatric Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Pediatric Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.