Individual provider Active NPI

Jessica Scott, DPT

  • Physical Therapist
  • Stevensville, MT
National Provider Identifier
1518201862
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-2080 Issued in MT
Practice address
63 Main St
Stevensville, MT 59870-2122
Phone
(406) 777-5411
Fax
(406) 777-5856
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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 PTP-PT-LIC-2080 MT Primary

Addresses

Primary practice location

63 Main St
Stevensville, MT 59870-2122

Mailing address

63 Main St
Stevensville, MT 59870-2122
Phone (406) 777-5411

Other identifiers 1

IdentifierTypeStateIssuer
PTP-PT-LIC-2080OtherMTSTATE OF MONTANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210001868 MT Practitioner - Physical Therapist in Private Practice 5890924062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missoula Bone and Joint LLCGroup PAC ID 3870583990, 57 clinicians

Practice addresses (Care Compare)

2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (406) 721-4436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-2080MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Montana Physical Therapist Current Accepting new patients
The University of Montana CurrentSince Dec 4, 2013 Accepting new patients
Missoula Bone & Joint, LLC CurrentSince Dec 5, 2013 Accepting new patients
University of Montana CurrentSince Dec 4, 2013 Accepting new patients

Locations

2360 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 541-4263

2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695

32 Campus Dr
Ste 129
Missoula, MT 59812
Phone (406) 243-5189

Interoperability endpoints

  • FHIR API: https://mbnj.mmi.prod.fhir.ema-api.com/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1518201862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702122",
            "telephone_number": "406-777-5411",
            "fax_number": "406-777-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702122",
            "telephone_number": "406-777-5411",
            "fax_number": "406-777-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA",
            "identifier": "PTP-PT-LIC-2080",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.