Individual provider Active NPI

Kirk R Vanslyke, DPT

  • Physical Therapist
  • Dillon, MT
National Provider Identifier
1649463126
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2301 Issued in MT
Practice address
201 Southside Blvd
Dillon, MT 59725-0201
Phone
(406) 683-3675
Fax
(406) 683-3549
NPI assigned
Aug 20, 2007
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 2301 MT Primary

Addresses

Primary practice location

201 Southside Blvd
Dillon, MT 59725-0201

Mailing address

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000776 MT Practitioner - Physical Therapist in Private Practice 6406940220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Rehab IncGroup PAC ID 4587636600, 26 clinicians

Practice addresses (Care Compare)

201 Southside Blvd
Dillon, MT 59725-3537
Phone (406) 683-3675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Rehab Inc Physical Therapist CurrentSince May 1, 2013 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince May 1, 2013 Accepting new patients
Medical Development Corporation Past Accepting new patients
Aspen Physical Therapy LLC Physical Therapist PastSince Apr 16, 2021 Accepting new patients

Locations

7935 MT Highway 35
Ste 203
Bigfork, MT 59911
Phone (406) 837-2458

201 Southside Blvd
Dillon, MT 59725
Phone (406) 683-3675

111 Sunnyview Ln
Ste B
Kalispell, MT 59901
Phone (406) 407-7990

25 Heritage Way
Kalispell, MT 59901
Phone (406) 407-7990

Organizations & group practices 4

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1649463126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SOUTHSIDE BLVD",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597250201",
            "telephone_number": "406-683-3675",
            "fax_number": "406-683-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSLYKE",
        "first_name": "KIRK",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.