NPIMap

Organization Active NPI

Advanced Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Kalispell, MT
National Provider Identifier
1508084641
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVANCED REHABILITATION SERVICES LLC
Practice address
175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone
(406) 752-7250
Fax
(406) 752-6250
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mr. Timothy John Gibbs, P.T.NPI 1285623181
Title
Owner and President
Phone
(406) 752-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

175 Commons Loop
Suite 100
Kalispell, MT 59901-1904

Mailing address

175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone (406) 752-7250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000026 MT Part B Supplier - Clinic/Group Practice 1456451533 Receives reassigned benefits from 12 practitioners
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

175 Commons Loop
Ste 100
Kalispell, MT 59901
Phone (406) 751-4200

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1508084641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP",
            "address_2": "SUITE 100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-752-7250",
            "fax_number": "406-752-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP",
            "address_2": "SUITE 100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-752-7250",
            "fax_number": "406-752-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "406-752-7250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.