Individual provider Active NPI

Stacy L Upton, PT

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1841355682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
957PT Issued in MT
Practice address
711 E 13TH St
Whitefish, MT 59937-2964
Phone
(406) 862-9378
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 957PT MT Primary

Addresses

Primary practice location

711 E 13TH St
Whitefish, MT 59937-2964

Mailing address

2775 Dillon Rd
Whitefish, MT 59937-8225
Phone (406) 862-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
957PTMTMDPhysical Therapist
957MTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pisk Chiropractic PLLC Past Accepting new patients
Pisk Chiropractic & Physiotherapy PC Past Accepting new patients
Lymphedema and Occupational Therapy Service, Inc Past Accepting new patients
Whitefish Physical Therapy & Sports Rehab, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841355682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 DILLON RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378225",
            "telephone_number": "406-862-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 13TH ST",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372964",
            "telephone_number": "406-862-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "957PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.