Individual provider Active NPI

Mary H Dixon, PT, DPT, CFMT

  • Orthopedic Physical Therapist
  • Kalispell, MT
National Provider Identifier
1467789826
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7555 Issued in MT
Practice address
35 Main St Ste C
Kalispell, MT 59901-4448
Phone
(406) 471-0464
Fax
(406) 755-3992
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 PTP-PT-LIC-7500 MT
Orthopedic Physical Therapist 2251X0800X 7555 MT Primary

Addresses

Primary practice location

35 Main St Ste C
Kalispell, MT 59901-4448

Mailing address

35 Main St Ste C
Kalispell, MT 59901-4448
Phone (406) 471-0464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729002945 MT Practitioner - Physical Therapist in Private Practice 0547309338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Main St
Suite C
Kalispell, MT 59901-4448
Phone (406) 471-0464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7555MTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastineau Physical Therapy, LTD. CurrentSince Aug 10, 2018 Accepting new patients
Pelvis Spine & Sport Physical Therapy, LLC CurrentSince Nov 8, 2018 Accepting new patients
Mountain Valley Physical Therapy PC Orthopedic Past Accepting new patients

Locations

175 Hutton Ranch Rd
Ste 103
Kalispell, MT 59901
Phone (406) 652-1588

2316 US Highway 93 N
Kalispell, MT 59901
Phone (406) 755-3991

175 Hutton Ranch Rd
Ste 3
Kalispell, MT 59901

35 Main St
Ste C
Kalispell, MT 59901
Phone (406) 471-0464

Organizations & group practices 3

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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1467789826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MAIN ST STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014448",
            "telephone_number": "406-471-0464",
            "fax_number": "406-755-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MAIN ST STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014448",
            "telephone_number": "406-471-0464",
            "fax_number": "406-755-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, CFMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-7500",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "7555",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 24, 2023; 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.