Active NPI
Seth D Halverson, PT
- Physical Therapist
- Bozeman, MT
National Provider Identifier
1821056060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1187
- Practice address
- 1419 N 14TH
Unit a
Bozeman, MT 59715 - Phone
- (406) 586-4678
- Fax
- (406) 586-4670
- NPI assigned
- May 3, 2006
- 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 | 1187 | MT | Primary |
Addresses
Primary practice location
1419 N 14TH
Unit a
Bozeman, MT 59715
Mailing address
1419 N 14TH
Unit a
Bozeman, MT 59715
Phone (406) 586-4678
Other practice location 1
1419 N 14th
Unit A
Bozeman, MT 59715
Phone (406) 586-4678
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201386522597150000 | Other | MT | TRICARE |
| 60573 | Other | MT | BLUE CROSS BLUE SHIELD |
| 1245701 | Other | MT | MONTANA STATE FUND |
| 3400995 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1187 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie County Hospital District | Current | Accepting new patients | |
| Great Northern Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- seth.halverson.1@16752.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Prairie Community Hospital
- Critical Access Hospital
- Terry, MT
- NPI 1760489272
-
- Physical Therapist
- Bozeman, MT
- NPI 1881652048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1821056060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 N 14TH",
"address_2": "UNIT A",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-586-4678",
"fax_number": "406-586-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 N 14TH",
"address_2": "UNIT A",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-586-4678",
"fax_number": "406-586-4670"
}
],
"practiceLocations": [
{
"address_1": "1419 N 14th",
"address_2": "Unit A",
"address_purpose": "LOCATION",
"city": "Bozeman",
"state": "MT",
"postal_code": "59715",
"country_code": "US",
"telephone_number": "406-586-4678",
"fax_number": "406-586-4670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALVERSON",
"first_name": "SETH",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "201386522597150000",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "60573",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA STATE FUND",
"identifier": "1245701",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400995",
"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 Jul 11, 2019; 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.