NPIMap

Organization Active NPI

River Bend Physical Therapy and Preventative Care, LLC

  • Physical Therapy Clinic/Center
  • Bigfork, MT
National Provider Identifier
1821497462
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2406 Issued in MT
Legal business name
RIVER BEND PHYSICAL THERAPY AND PREVENTATIVE CARE, LLC
Practice address
850 Holt Drive
Bigfork, MT 59911
Phone
(406) 837-3255
Fax
(406) 837-3256
NPI assigned
Aug 20, 2014
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Dr. Kaci L Monroe, PT, DPTNPI 1912290206
Title
Owner
Phone
(406) 837-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2406 MT Primary

Addresses

Primary practice location

850 Holt Drive
Bigfork, MT 59911

Mailing address

PO Box 1557
Bigfork, MT 59911
Phone (406) 837-3255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108000859 MT Part B Supplier - Clinic/Group Practice 0345563995 Receives reassigned benefits from 10 practitioners
Practice locations: Bigfork, MT

National Provider Directory

National Provider Directory

Locations

850 Holt Dr
Bigfork, MT 59911
Phone (406) 837-3255

306 Stoner Loop
Ste 5
Lakeside, MT 59922
Phone (406) 837-3255

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1821497462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "59911",
            "telephone_number": "406-837-3255",
            "fax_number": "406-837-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOLT DRIVE",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "59911",
            "telephone_number": "406-837-3255",
            "fax_number": "406-837-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER BEND PHYSICAL THERAPY AND PREVENTATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "KACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-837-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bigfork, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.