Gastineau Physical Therapy, LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1644PT Issued in MT

Legal business name

GASTINEAU PHYSICAL THERAPY, LTD.

Practice address

770 W Reserve Dr
Kalispell, MT 59901-2130

Phone

(406) 755-3991

Fax

(406) 755-3992

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Daniele Mauree Gastineau, P.T.NPI 1407919343

Title

President

Phone

(406) 755-3991

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 4

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

• Daniele Gastineau, PT

  • Physical Therapist
  • Kalispell, MT
  • NPI 1407919343
  Medicare reassignment Care Compare group NPD Authorized official
• Kathryn Diane Fisette, PT, DPT

  • Physical Therapist
  • Missoula, MT
  • NPI 1629617956
  Medicare reassignment Care Compare group NPD
• Mary H Dixon, PT, DPT, CFMT

  • Orthopedic Physical Therapist
  • Kalispell, MT
  • NPI 1467789826
  Medicare reassignment NPD
• Laurel Allison Fullerton, P.T.

  • Physical Therapist
  • Kalispell, MT
  • NPI 1548294598
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720298623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 FARM TO MARKET RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378303",
            "telephone_number": "406-755-3991",
            "fax_number": "406-755-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W RESERVE DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012130",
            "telephone_number": "406-755-3991",
            "fax_number": "406-755-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTINEAU PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASTINEAU",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "MAUREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-755-3991",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": "1644PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003400293",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Gambrel
• Sarah Garner
• Meredith Kerley Garreau
• McKenna Eve Garrett
• Victoria Renee Evaro Garrido
• Daniele Gastineau, PT
• Gateway Community Services
• Amy Gault, MSW
• Sarah Gehl
• Dena J Geiger, APRN FNP-C

• Specialist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.