Individual provider Active NPI

Beverley Gransbery, MS, PT

  • Physical Therapist
  • Butte, MT
National Provider Identifier
1629045547
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1694PT Issued in MT
Practice address
200 S Clark St
Butte, MT 59701-1500
Phone
(406) 723-4268
Fax
(406) 723-4274
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 1694PT MT Primary

Addresses

Primary practice location

200 S Clark St
Butte, MT 59701-1500

Mailing address

200 S Clark St
Butte, MT 59701-1500
Phone (406) 723-4268

Other identifiers 3

IdentifierTypeStateIssuer
3400000MedicaidMT
61788OtherMTBLUE CROSS/BLUE SHIELD
P00015265OtherMTRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000434 MT Practitioner - Physical Therapist in Private Practice 2961677141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butte Physical Therapy Center IncGroup PAC ID 9234101486, 3 clinicians

Practice addresses (Care Compare)

200 S Clark St
Butte, MT 59701-1500
Phone (406) 723-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1694PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Physical Therapy Center Inc Physical Therapist CurrentSince May 27, 2003 Accepting new patients

Locations

200 S Clark St
Butte, MT 59701
Phone (406) 723-4268

Organizations & group practices 1

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1629045547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CLARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011500",
            "telephone_number": "406-723-4268",
            "fax_number": "406-723-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CLARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011500",
            "telephone_number": "406-723-4268",
            "fax_number": "406-723-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANSBERY",
        "first_name": "BEVERLEY",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1694PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400000",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "61788",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00015265",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.