Individual provider Active NPI

Jackie Ann Day

  • Physical Therapist
  • Hamilton, MT
National Provider Identifier
1669727731
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC 4349 Issued in MT
Practice address
336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone
(406) 375-0980
Fax
(406) 375-9938
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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 PTP-PT-LIC 4349 MT Primary

Addresses

Primary practice location

336 Fairgrounds Rd
Hamilton, MT 59840-3126

Mailing address

336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone (406) 375-0980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000131 MT Practitioner - Physical Therapist in Private Practice 9436307048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physical Therapy PCGroup PAC ID 7113902321, 28 clinicians

Practice addresses (Care Compare)

336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone (406) 375-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC 4349MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy PC Physical Therapist CurrentSince Jul 12, 2010 Accepting new patients
Corvallis Physical Therapy, PC Physical Therapist PastSince Jun 16, 2011 Accepting new patients

Locations

267 Rodeo Dr
Florence, MT 59833
Phone (406) 273-9033

336 Fairgrounds Rd
Ste B
Hamilton, MT 59840
Phone (406) 285-8342

336 Fairgrounds Rd
Hamilton, MT 59840
Phone (406) 375-0980

472 Tammany Ln
Hamilton, MT 59840
Phone (406) 363-2816

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1669727731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980",
            "fax_number": "406-375-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980",
            "fax_number": "406-375-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "JACKIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC 4349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.