Individual provider Active NPI

Patrick A Gulick, PT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1528147261
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1418 Issued in MT
Practice address
25 Heritage Way
Kalispell, MT 59901-3100
Phone
(406) 407-7990
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 1418 MT Primary

Addresses

Primary practice location

25 Heritage Way
Kalispell, MT 59901-3100

Mailing address

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000634 MT Practitioner - Physical Therapist in Private Practice 3779593991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Rehab IncGroup PAC ID 4587636600, 26 clinicians

Practice addresses (Care Compare)

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 752-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1418MTMDProfessional Counselor
7799WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Development Corporation CurrentSince Aug 31, 2015 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince Jan 2, 2003 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince Jan 2, 2003 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

7935 MT Highway 35
Ste 203
Bigfork, MT 59911
Phone (406) 837-2458

201 Southside Blvd
Dillon, MT 59725
Phone (406) 683-3675

25 Heritage Way
Kalispell, MT 59901
Phone (406) 407-7990

111 Sunnyview Ln
Ste B
Kalispell, MT 59901
Phone (406) 407-7990

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1528147261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULICK",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1418",
            "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 Jul 27, 2023; 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.