Kaci Lee Monroe, DPT

Individual provider Active NPI Physical Therapist · Bigfork, MT

NPI 1912290206 · NPPES record last updated May 26, 2016

Key facts

NPI
1912290206
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2406 (MT)
Practice address
850 Holt Drive
Bigfork, MT 59911
Phone
(406) 837-3255
Fax
(406) 837-3256
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Bend Physical Therapy and Preventative Care LLC (7 clinicians)

Practice addresses (Care Compare)

850 Holt Dr
Bigfork, MT 59911-6218
Phone (406) 837-3255

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110721000826 MT Practitioner - Physical Therapist in Private Practice 9436327236 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2406MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
River Bend Physical Therapy and Preventative Care, LLC Physical Therapy Current
since Aug 20, 2014
Accepting new patients

Locations

850 Holt Dr
Bigfork, MT 59911
Phone (406) 837-3255

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2406 MT Yes
Physical Therapy Clinic/Center 261QP2000X MT

Addresses

Primary practice location

850 Holt Drive
Bigfork, MT 59911

Mailing address

P.O. Box 1557
Bigfork, MT 59911
Phone (406) 837-3255

Other names

  • Ms. Kaci Lee Calaway Former name

Other providers in Bigfork, MT

All providers in Bigfork, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.