Individual provider Active NPI

Jason M Hirtzel, DPT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1871065946
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-27276 Issued in MT
Practice address
3171 US Highway 93 N Ste C
Kalispell, MT 59901-1360
Phone
(406) 756-7634
NPI assigned
Dec 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.PT.61301374 WA
Physical Therapist 225100000X PT-5554 HI
Physical Therapist 225100000X PT22022 NM
Physical Therapist 225100000X 64478 OR
Physical Therapist 225100000X LPT-30077 AZ
Physical Therapist 225100000X 11079648-2401 UT
Physical Therapist 225100000X PT295364 CA
Physical Therapist 225100000X PTP-PT-LIC-27276 MT Primary

Addresses

Primary practice location

3171 US Highway 93 N Ste C
Kalispell, MT 59901-1360

Mailing address

2012 Ploverville LN
Austin, TX 78728-5440
Phone (716) 536-2881

Other practice location 1

2012 Ploverville Ln
Austin, TX 78728-5440
Phone (716) 536-2881

Other practice location 2

1600 Hospital Way
Whitefish, MT 59937-7849
Phone (406) 863-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117001187 MT Practitioner - Physical Therapist in Private Practice 5799132460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30077AZMDPhysical Therapist
PT295364CAMDPhysical Therapist
PT-5554HIMDPhysical Therapist
PTP-PT-LIC-27276MTMDPhysical Therapist
PT22022NMMDPhysical Therapist
64478ORMDPhysical Therapist
11079648-2401UTMDPhysical Therapist
PT.PT.61301374WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Spine & Sports Center, Inc. CurrentSince Oct 23, 2023 Accepting new patients

Locations

3171 US Highway 93 N
Ste C
Kalispell, MT 59901
Phone (406) 261-4095

Organizations & group practices 1

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": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1871065946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 PLOVERVILLE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787285440",
            "telephone_number": "716-536-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 US HIGHWAY 93 N STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011360",
            "telephone_number": "406-756-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Ploverville Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787285440",
            "country_code": "US",
            "telephone_number": "716-536-2881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599377849",
            "country_code": "US",
            "telephone_number": "406-863-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRTZEL",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-29",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.61301374",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5554",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT22022",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64478",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30077",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11079648-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-27276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.