Kira Pecarina, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

11252 Issued in MT

Practice address

116 Glacier Dr Ste 102
Lolo, MT 59847-9343

Phone

(406) 926-2569

NPI assigned

Aug 6, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Berube Physical Therapy, Inc

  • Multi-Specialty Clinic/Center
  • Columbia Falls, MT
  • NPI 1255015921
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1801406665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GLACIER DR STE 102",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598479343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 GLACIER DR STE 102",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598479343",
            "telephone_number": "406-926-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECARINA",
        "first_name": "KIRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "11252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKayla McNamara
• Heather Miller, LCPC
• Montana Childrens Dentistry PLLC
• Montana Migrant and Seasonal Farmworkers Council, Inc.
• Greg Murray, PA-C
• Ross William Roadarmel, PHARM D
• Robert Dean Wilcox (Lolo Drug)
• Michael Rafia Sandry, P.T.
• Melinda Ann Smith, LCSW
• Strong Physio PLLC (Lolo Physical Therapy)

• Physical Therapy Assistant in Lolo, MT
• Providers in Lolo, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.