Individual provider Active NPI

Heather Nicole Shaughnessy, DPT

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1871803783
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24537 Issued in MT
Practice address
112 E Blanchard Lake Rd
Whitefish, MT 59937-8466
Phone
(406) 272-5800
NPI assigned
Oct 13, 2010
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225002598 MT Practitioner - Physical Therapist in Private Practice 2466621735 Reassigns benefits to 1 organization

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
Berube Physical Therapy IncGroup PAC ID 6709157472, 5 clinicians

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

LicenseStateTypeSpecialty
24537MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berube Physical Therapy, Inc CurrentSince Feb 9, 2026 Accepting new patients
Berube Physical Therapy, Inc Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC PastSince Jan 24, 2021 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.

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.

Verify at the official NPI Registry.