Individual provider Active NPI

Devin R Hallstrom, PT, DPT

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1750190153
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-30114 Issued in MT
Practice address
1250 Baker Ave Ste 1
Whitefish, MT 59937-2955
Phone
(406) 862-5033
Fax
(406) 862-4933
NPI assigned
Jan 1, 2025
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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-30114 MT Primary

Addresses

Primary practice location

1250 Baker Ave Ste 1
Whitefish, MT 59937-2955

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107001068 MT Practitioner - Physical Therapist in Private Practice 3870021744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalispell Rehabilitation Associates IncGroup PAC ID 9830183961, 12 clinicians
Lake Health and Rehab, LLCGroup PAC ID 6901059963, 8 clinicians

Practice addresses (Care Compare)

105 Village Loop Rd
Unit a
Kalispell, MT 59901-4188
Phone (406) 756-7878

218 Sportsman LN
Suite 2
Bigfork, MT 59911-6744
Phone (406) 420-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-30114MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Rehabilitation Associates, Inc Physical Therapist CurrentSince Nov 3, 2024 Accepting new patients
Lake Health & Rehab, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Professional Therapy Associates Physical Therapist PastSince Jan 5, 2025 Accepting new patients

Locations

218 Sportsman Ln
#2
Bigfork, MT 59911

218 Sportsman Ln
Ste 2
Bigfork, MT 59911
Phone (406) 420-2350

8111 MT Highway 35
Ste 9
Bigfork, MT 59911
Phone (406) 857-2995

1850 9th St W
Bldg A
Columbia Falls, MT 59912

1850 9th St W
Ste 2
Columbia Falls, MT 59912
Phone (406) 892-7999

105 Village Loop Rd
Unit A
Kalispell, MT 59901
Phone (406) 756-7878

200 E Idaho St
Ste A
Kalispell, MT 59901
Phone (406) 257-5610

306 Stoner Loop
Ste 3
Lakeside, MT 59922
Phone (406) 844-0744

1250 Baker Ave
Ste 1
Whitefish, MT 59937
Phone (406) 756-2555

807 Spokane Ave
Ste 400
Whitefish, MT 59937
Phone (406) 862-5033

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1750190153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BAKER AVE STE 1",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372955",
            "telephone_number": "406-862-5033",
            "fax_number": "406-862-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTROM",
        "first_name": "DEVIN",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-30114",
            "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 Jan 1, 2025; 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.