Individual provider Active NPI

Kathryn Juelanne Muenzberg, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1790862175
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1729PT Issued in MT
Practice address
135 Prospect Loop
Bozeman, MT 59718-5976
Phone
(406) 585-9044
Fax
(406) 585-9220
NPI assigned
Nov 1, 2006
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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 1729PT MT Primary

Addresses

Primary practice location

135 Prospect Loop
Bozeman, MT 59718-5976

Mailing address

135 Prospect Loop
Bozeman, MT 59718-5985
Phone (406) 585-9044

Other identifiers 1

IdentifierTypeStateIssuer
0348500MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000117 MT Practitioner - Physical Therapist in Private Practice 6204901838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

312 W Main St
Suite 1
Belgrade, MT 59714-3836
Phone (406) 388-2235

630 Boardwalk Ave
Suite 1
Bozeman, MT 59718-4118
Phone (406) 548-6266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1729PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc. Physical Therapist CurrentSince May 7, 2008 Accepting new patients
Lone Peak Physical Therapy Inc Physical Therapist CurrentSince May 7, 2008 Accepting new patients
Excel Orthopedic Physical Therapy, Inc. Physical Therapist PastSince Apr 1, 2001 Accepting new patients
Excel Orthopedic Physical Therapy Limited Partnership Physical Therapist PastSince Jul 3, 2022 Accepting new patients
Freestone Rehabilitation, Inc Past Accepting new patients
Lone Peak Physical Therapy Inc Physical Therapist Past Accepting new patients
Lone Peak Physical Therapy at Belgrade PastSince Jan 12, 2011 Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

135 Prospect Loop
Bozeman, MT 59718
Phone (406) 585-9044

630 Boardwalk Ave
Ste 1
Bozeman, MT 59718
Phone (406) 548-6266

Organizations & group practices 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1790862175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PROSPECT LOOP",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185985",
            "telephone_number": "406-585-9044",
            "fax_number": "406-585-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROSPECT LOOP",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185976",
            "telephone_number": "406-585-9044",
            "fax_number": "406-585-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENZBERG",
        "first_name": "KATHRYN",
        "middle_name": "JUELANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1729PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348500",
            "state": "MT"
        }
    ],
    "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 Jan 12, 2011; 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.