Individual provider Active NPI

Kasey Harwood Mannix, DPT

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1770847220
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4351 Issued in MT
Practice address
900 N Montana Ave Ste a
Helena, MT 59601-3845
Phone
(406) 442-4325
Fax
(406) 449-6531
NPI assigned
Jun 29, 2012
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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 4351 MT Primary

Addresses

Primary practice location

900 N Montana Ave Ste a
Helena, MT 59601-3845

Mailing address

900 N Montana Ave Ste a
Helena, MT 59601-3845
Phone (406) 442-4325

Other identifiers 1

IdentifierTypeStateIssuer
4351OtherMTMONTANA STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000676 MT Practitioner - Physical Therapist in Private Practice 8820248230 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Helmville, MT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 S Main St
Helmville, MT 59843-9153
Phone (406) 403-6163

PO Box
Suite 41
Helmville, MT 59843-0041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4351MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Leaf Physical Therapy, LLC Physical Therapist CurrentSince Jan 27, 2014 Accepting new patients
Helmville Physical Therapy, LLC Physical Therapist CurrentSince Feb 10, 2024 Accepting new patients
Heuiser Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients

Locations

3336 N Montana Ave
Helena, MT 59602
Phone (406) 449-0654

701 Helena Ave
Helena, MT 59601
Phone (406) 437-1917

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1770847220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N MONTANA AVE STE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013845",
            "telephone_number": "406-442-4325",
            "fax_number": "406-449-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N MONTANA AVE STE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013845",
            "telephone_number": "406-442-4325",
            "fax_number": "406-449-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIX",
        "first_name": "KASEY",
        "middle_name": "HARWOOD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE LICENSE",
            "identifier": "4351",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.