Individual provider Active NPI

Jennifer Lynn Feenstra, DPT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1609124098
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-4382 Issued in MT
Practice address
2455 Dixon Ave
Suite a
Missoula, MT 59801-8215
Phone
(406) 543-7860
Fax
(406) 543-7862
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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-4382 MT Primary

Addresses

Primary practice location

2455 Dixon Ave
Suite a
Missoula, MT 59801-8215

Mailing address

2455 Dixon Ave
Suite a
Missoula, MT 59801-8215
Phone (406) 543-7860

Other names 1

  • Jennifer Lynn Newell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000063 MT Practitioner - Physical Therapist in Private Practice 6406008069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physical Therapy PCGroup PAC ID 7113902321, 28 clinicians

Practice addresses (Care Compare)

16400 Frenchtown FR Rd
Frenchtown, MT 59834-9301
Phone (406) 626-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy PC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Frenchtown Physical Therapy Inc CurrentSince Aug 1, 2022 Accepting new patients
Element Audiology PLLC PastSince Oct 17, 2021 Accepting new patients
Amy Sellman PT PLLC PastSince Aug 8, 2021 Accepting new patients
Element Physical Therapy LLC Past Accepting new patients
Corvallis Physical Therapy, PC Physical Therapist PastSince Jun 16, 2011 Accepting new patients

Locations

267 Rodeo Dr
Florence, MT 59833
Phone (406) 273-9033

16400 Frenchtown Frontage Rd
Frenchtown, MT 59834
Phone (406) 626-0026

336 Fairgrounds Rd
Hamilton, MT 59840
Phone (406) 375-0980

336 Fairgrounds Rd
Ste B
Hamilton, MT 59840
Phone (406) 285-8342

472 Tammany Ln
Hamilton, MT 59840
Phone (406) 363-2816

Organizations & group practices 6

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1609124098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 DIXON AVE",
            "address_2": "SUITE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018215",
            "telephone_number": "406-543-7860",
            "fax_number": "406-543-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 DIXON AVE",
            "address_2": "SUITE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018215",
            "telephone_number": "406-543-7860",
            "fax_number": "406-543-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENSTRA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEWELL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.