Individual provider Active NPI

Joel S Shehan, PT

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1659317501
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1891 Issued in MT
Practice address
1111 Baker Ave Uppr Level
Whitefish, MT 59937-2901
Phone
(406) 862-2670
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 1891 MT Primary

Addresses

Primary practice location

1111 Baker Ave Uppr Level
Whitefish, MT 59937-2901

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
I20070725000128 MT Practitioner - Physical Therapist in Private Practice 1759482433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
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)

1111 Baker Ave
Uppr Level
Whitefish, MT 59937-2901
Phone (406) 862-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1891MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Rehab Inc Physical Therapist CurrentSince Jul 20, 2022 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince Jul 20, 2022 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

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

1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990

Organizations & group practices 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1659317501",
    "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": "1111 BAKER AVE UPPR LEVEL",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHAN",
        "first_name": "JOEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

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