Active NPI
Jason M Hirtzel, DPT
- Physical Therapist
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-27276
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30077 | AZ | MD | Physical Therapist |
| PT295364 | CA | MD | Physical Therapist |
| PT-5554 | HI | MD | Physical Therapist |
| PTP-PT-LIC-27276 | MT | MD | Physical Therapist |
| PT22022 | NM | MD | Physical Therapist |
| 64478 | OR | MD | Physical Therapist |
| 11079648-2401 | UT | MD | Physical Therapist |
| PT.PT.61301374 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Spine & Sports Center, Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Kalispell, MT
- NPI 1831370378
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.