Organization Active NPI

Aspen Manual & Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Stevensville, MT
National Provider Identifier
1780349548
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ASPEN MANUAL & PHYSICAL THERAPY LLC
Practice address
3586 Blacksmith Lane
Stevensville, MT 59870
Phone
(907) 539-2561
Fax
(907) 539-2561
NPI assigned
Nov 5, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Heidi D Shinn, PT, MSPTNPI 1952489353
Title
Owner
Phone
(907) 539-2561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

3586 Blacksmith Lane
Stevensville, MT 59870

Mailing address

3586 Blacksmith Lane
Stevensville, MT 59870
Phone (907) 539-2561

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ultrashin2@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215002648 MT Part B Supplier - Clinic/Group Practice 3375936347 Receives reassigned benefits from 1 practitioner
Practice locations: Stevensville, MT

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1780349548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 BLACKSMITH LANE",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "59870",
            "telephone_number": "907-539-2561",
            "fax_number": "907-539-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 BLACKSMITH LANE",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "59870",
            "telephone_number": "907-539-2561",
            "fax_number": "907-539-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN MANUAL & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-539-2561",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ultrashin2@gmail.com",
            "affiliation": "N",
            "address_1": "3586 Blacksmith Lane",
            "city": "Stevensville",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.