Active NPI
Heather Nicole Shaughnessy, DPT
- Physical Therapist
- Whitefish, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24537
- Practice address
- 112 E Blanchard Lake Rd
Whitefish, MT 59937-8466 - Phone
- (406) 272-5800
- NPI assigned
- Oct 13, 2010
- Last updated
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24537 | MT | Primary |
Addresses
Primary practice location
112 E Blanchard Lake Rd
Whitefish, MT 59937-8466
Mailing address
57 Mountain Meadow CT
Kalispell, MT 59901-6597
Phone (406) 272-5800
Other names 1
- Miss Heather Nicole Berube
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 W Idaho St
Suite a
Kalispell, MT 59901-3939
Phone (406) 890-2408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24537 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berube Physical Therapy, Inc | Current | Accepting new patients | |
| Berube Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Altitude Physical Therapy & Sports Medicine LLC | Past | Accepting new patients | |
| Healing Hands Physical Therapy, P.C. | Past | Accepting new patients |
Locations
120 W Idaho St
Ste A
Kalispell, MT 59901
Phone (406) 206-4264
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia Falls, MT
- NPI 1700325420
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Columbia Falls, MT
- NPI 1255015921
-
dba Altitude Physical Therapy - Longmont
- Physical Therapy Clinic/Center
- Longmont, CO
- NPI 1235729567
-
- Physical Therapy Clinic/Center
- Arvada, CO
- NPI 1851590889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1871803783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 MOUNTAIN MEADOW CT",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599016597",
"telephone_number": "406-272-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E BLANCHARD LAKE RD",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599378466",
"telephone_number": "406-272-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUGHNESSY",
"first_name": "HEATHER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "24537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BERUBE",
"middle_name": "NICOLE",
"prefix": "MISS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.