Individual provider Active NPI

Kimberly Weichers, DPT

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1477072726
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11127 Issued in MT
Practice address
2006 Hospital Way
Whitefish, MT 59937-7858
Phone
(406) 862-9378
Fax
(406) 862-9882
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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 11127 MT Primary

Addresses

Primary practice location

2006 Hospital Way
Whitefish, MT 59937-7858

Mailing address

PO Box 4357
Whitefish, MT 59937-4357
Phone (406) 862-9378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025003540 MT Practitioner - Physical Therapist in Private Practice 6305112954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
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
11127MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Orthopedic & Sports Therapy CurrentSince Jan 5, 2024 Accepting new patients

Locations

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

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1477072726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4357",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599374357",
            "telephone_number": "406-862-9378",
            "fax_number": "406-862-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377858",
            "telephone_number": "406-862-9378",
            "fax_number": "406-862-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICHERS",
        "first_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "11127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.