NPIMap

Organization Active NPI

Whitefish Physical Therapy & Sports Rehab, Inc.

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1679567770
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1367PT Issued in MT
Legal business name
WHITEFISH PHYSICAL THERAPY & SPORTS REHAB, INC.
Practice address
2006 Hospital Way
Whitefish, MT 59937-7858
Phone
(406) 862-9378
Fax
(406) 862-9882
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Ashley E Seefeldt
Title
Staff End User
Phone
(406) 862-9378

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1367PT MT Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2006 Hospital Way
Whitefish, MT 59937-7858

Mailing address

PO Box 4357
Whitefish, MT 59937-4357
Phone (406) 862-9378

Other identifiers 1

IdentifierTypeStateIssuer
0345338MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1679567770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4357",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599374357",
            "telephone_number": "406-862-9378",
            "fax_number": "406-862-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377858",
            "telephone_number": "406-862-9378",
            "fax_number": "406-862-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFISH PHYSICAL THERAPY & SPORTS REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "SEEFELDT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "STAFF END USER",
        "authorized_official_telephone_number": "406-862-9378"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1367PT",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345338",
            "state": "MT"
        }
    ],
    "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 Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.