Kathryn Dolese, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1631PT Issued in MT

Practice address

1001 SW Higgins Ave Ste 205
Missoula, MT 59803-1340

Phone

(406) 721-3096

Fax

(406) 721-3956

NPI assigned

Oct 27, 2006

Last updated

Mar 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Physical Therapy PLLCGroup PAC ID 7618959495, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1487687091

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1619053303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MCLEOD AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014304",
            "telephone_number": "406-721-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE STE 205",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031340",
            "telephone_number": "406-721-3096",
            "fax_number": "406-721-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLESE",
        "first_name": "KATHRYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1631PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348449",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Alan Dodge, PT
• Justina Kelsey Dodge, LCSW
• Scott M Doherty, PA
• Kevin Brian Dohr, PH.D.
• Paul K. Dokey, LCSW
• Jesse Jeffrey Doll, PA-C
• Wendy L Doll
• Coe A Dolven, MA LCPC
• Brenda Lee Domingue, OTR/L
• Donald N Gillespie MD PLLC

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.