Organization Active NPI

Mindful Motion Physical Therapy and Wellness, Inc.

  • Physical Therapy Clinic/Center
  • Kila, MT
National Provider Identifier
1639323645
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1946 Issued in MT
Legal business name
MINDFUL MOTION PHYSICAL THERAPY AND WELLNESS, INC.
Practice address
4220 Highway 2 West
Kila, MT 59920-9728
Phone
(406) 471-8100
NPI assigned
Nov 5, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Kathleen Mae Ingalls, D.P.T.NPI 1417908567
Title
President
Phone
(406) 471-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1946 MT Primary

Addresses

Primary practice location

4220 Highway 2 West
Kila, MT 59920-9728

Mailing address

PO Box 491
Kila, MT 59920-0491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000374 MT Part B Supplier - Clinic/Group Practice 3476614041 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

30 4th St E
Kalispell, MT 59901
Phone (406) 471-8100

410 1st Ave E
Kalispell, MT 59901
Phone (406) 471-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1639323645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491",
            "city": "KILA",
            "state": "MT",
            "postal_code": "599200491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HIGHWAY 2 WEST",
            "city": "KILA",
            "state": "MT",
            "postal_code": "599209728",
            "telephone_number": "406-471-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOTION PHYSICAL THERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "INGALLS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-471-8100",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kila, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.