Individual provider Active NPI

Seth D Halverson, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1821056060
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1187 Issued in MT
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

Updated by the provider on Jul 11, 2019

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 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

IdentifierTypeStateIssuer
201386522597150000OtherMTTRICARE
60573OtherMTBLUE CROSS BLUE SHIELD
1245701OtherMTMONTANA STATE FUND
3400995MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000474 MT Practitioner - Physical Therapist in Private Practice 6204896475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1187MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie County Hospital District CurrentSince Dec 9, 2025 Accepting new patients
Great Northern Physical Therapy, LLC Physical Therapist PastSince May 22, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.