Active NPI
Jey Ponti, PT, MS
- Physical Therapist
- Kalispell, MT
National Provider Identifier
1801893557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1857PT
- Practice address
- 115 Commons Way
Suite 101
Kalispell, MT 59901-1906 - Phone
- (406) 756-2555
- Fax
- (406) 756-2558
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1857PT | MT | Primary |
Addresses
Primary practice location
115 Commons Way
Suite 101
Kalispell, MT 59901-1906
Mailing address
115 Commons Way
Suite 101
Kalispell, MT 59901-1906
Phone (406) 756-2555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60463 | Other | MO | BCBS PROVIDER NUMBER |
| 3400852 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone (406) 752-7250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857PT | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Services LLC | Current | Accepting new patients |
Locations
175 Commons Loop
Ste 100
Kalispell, MT 59901
Phone (406) 751-4200
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Kalispell, MT
- NPI 1508084641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801893557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 COMMONS WAY",
"address_2": "SUITE 101",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011906",
"telephone_number": "406-756-2555",
"fax_number": "406-756-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 COMMONS WAY",
"address_2": "SUITE 101",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011906",
"telephone_number": "406-756-2555",
"fax_number": "406-756-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTI",
"first_name": "JEY",
"credential": "PT, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1857PT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "60463",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400852",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.