Individual provider Active NPI

Randall R Hite, PT

  • Physical Therapist
  • Gillette, WY
National Provider Identifier
1518067404
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-0675 Issued in WY
Practice address
70 Augusta Cir
Gillette, WY 82718-6512
Phone
(307) 299-6068
NPI assigned
Sep 22, 2006
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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-29859 MT
Physical Therapist 225100000X PT-0675 WY Primary

Addresses

Primary practice location

70 Augusta Cir
Gillette, WY 82718-6512

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other practice location 1

306 Stoner Loop Ste 3
Lakeside, MT 59922-8601
Phone (406) 844-0744

Other practice location 2

105 Village Loop Rd Unit A
Kalispell, MT 59901-4188
Phone (406) 756-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-29859MTMDPhysical Therapist
PT-0675WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hites PT CurrentSince Aug 18, 2024 Accepting new patients
Kalispell Rehabilitation Associates, Inc Physical Therapist PastSince May 31, 2018 Accepting new patients
Lake Health & Rehab, LLC Physical Therapist PastSince Mar 26, 2017 Accepting new patients
Campbell County Hospital District PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1518067404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 AUGUSTA CIR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186512",
            "telephone_number": "307-299-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Stoner Loop Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "MT",
            "postal_code": "599228601",
            "country_code": "US",
            "telephone_number": "406-844-0744",
            "fax_number": "406-844-0759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Village Loop Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599014188",
            "country_code": "US",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITE",
        "first_name": "RANDALL",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-29859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-0675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.