Individual provider Active NPI

Patricia Shekitka Rodrique, PT

  • Physical Therapist
  • Polson, MT
National Provider Identifier
1861556003
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
98 Issued in MT
Practice address
211A Main St
Polson, MT 59860-2119
Phone
(406) 883-8101
NPI assigned
Dec 21, 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 98 MT Primary

Addresses

Primary practice location

211A Main St
Polson, MT 59860-2119

Mailing address

29166 Swimming Bear LN
Polson, MT 59860-8250
Phone (406) 883-3368

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
98MTMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hobby Horse Place LLC Physical Therapist Past Accepting new patients
Mission Valley Physical Therapy, PC Physical Therapist PastSince Nov 5, 2012 Accepting new patients
Daniel a Gullotta PT Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861556003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29166 SWIMMING BEAR LN",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608250",
            "telephone_number": "406-883-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211A MAIN ST",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602119",
            "telephone_number": "406-883-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUE",
        "first_name": "PATRICIA",
        "middle_name": "SHEKITKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, 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.