Jaclyn Gebhardt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-11210 Issued in MT

Practice address

220 Wooden Shoe LN Ste C
Manhattan, MT 59741-8379

Phone

(406) 284-4262

Fax

(406) 284-4203

NPI assigned

Jun 22, 2016

Last updated

Dec 2, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Orthopedic Physical Therapy Limited PartnershipGroup PAC ID 7416332549, 9 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.

• Excel Orthopedic Physical Therapy Limited Partnership

  • Physical Therapist
  • Bozeman, MT
  • NPI 1700518057
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1619328507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 W COLLEGE ST STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154915",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WOODEN SHOE LN STE C",
            "city": "MANHATTAN",
            "state": "MT",
            "postal_code": "597418379",
            "telephone_number": "406-284-4262",
            "fax_number": "406-284-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1823 W College St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597154915",
            "country_code": "US",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9824567-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-11210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PTP-PT-LIC-11210",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Churchill Retirement Home Inc.
• Cornerstone Speech Therapy, LLC
• County of Gallatin - School District 3 (School District Related Services-Manhattan)
• Credence Home Care LLC
• Richard Davis, MD
• Jennifer Kay Handsaker, PHARMD
• Tess L Hill, LCPC
• Megan Elizabeth Hoover, D.P.T.
• Steven Jesse, M.D.
• Sheryl Kim Jones, M.A., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.