Individual provider Active NPI

Faith Ford, PT, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1699318923
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-17268 Issued in MT
Practice address
32 Shawnee Way
Bozeman, MT 59715-7938
Phone
(406) 602-8861
Fax
(406) 792-1933
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTP-PT-LIC-17268 MT Primary
Physical Therapist 225100000X 17268 MT

Addresses

Primary practice location

32 Shawnee Way
Bozeman, MT 59715-7938

Mailing address

1650 Davis LN Unit B
Bozeman, MT 59718-3400
Phone (406) 602-8861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809001196 MT Practitioner - Physical Therapist in Private Practice 4981086816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Shawnee Way
Suite D
Bozeman, MT 59715-7940
Phone (406) 602-8861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17268MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinerx Scoliosis and Spine Rehab, LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Root Therapy and Wellness Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients

Locations

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

32 Shawnee Way
Ste D
Bozeman, MT 59715
Phone (406) 602-8861

32 Shawnee Way
Bozeman, MT 59715
Phone (406) 602-8861

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1699318923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 DAVIS LN UNIT B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183400",
            "telephone_number": "406-602-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SHAWNEE WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157938",
            "telephone_number": "406-602-8861",
            "fax_number": "406-792-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-17268",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "17268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.