Individual provider Active NPI

Heather Louise Huxtable, DPT

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1508479890
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19370 Issued in MT
Practice address
701 Helena Ave
Helena, MT 59601-3645
Phone
(406) 437-1917
NPI assigned
Aug 26, 2020
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 19370 MT Primary

Addresses

Primary practice location

701 Helena Ave
Helena, MT 59601-3645

Mailing address

PO Box 1902
Helena, MT 59624-1902
Phone (406) 437-1917

Other identifiers 1

IdentifierTypeStateIssuer
14955802OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adam@goldleafpt.com Gold Leaf Physical Therapy, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006000965 MT Practitioner - Physical Therapist in Private Practice 7517386857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Leaf Physical Therapy LLCGroup PAC ID 2860651684, 4 clinicians

Practice addresses (Care Compare)

701 Helena Ave
Helena, MT 59601-3645
Phone (406) 442-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19370MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Leaf Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Gold Leaf Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

1500 Harrison Ave
Butte, MT 59701
Phone (406) 299-0466

701 Helena Ave
Helena, MT 59601
Phone (406) 437-1917

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1508479890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1902",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241902",
            "telephone_number": "406-437-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HELENA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013645",
            "telephone_number": "406-437-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUXTABLE",
        "first_name": "HEATHER",
        "middle_name": "LOUISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "19370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14955802",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam@goldleafpt.com",
            "affiliation": "Y",
            "endpointDescription": "Administrator email",
            "affiliationName": "Gold Leaf Physical Therapy, LLC",
            "address_1": "701 Helena Ave",
            "city": "Helena",
            "state": "MT",
            "country_code": "US",
            "postal_code": "596013645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.