Individual provider Active NPI

Christy M Rusdal, MPT, CSCS

  • Physical Therapist
  • Libby, MT
National Provider Identifier
1932170917
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1448 Issued in MT
Practice address
419 W 9TH St
Libby, MT 59923-1766
Phone
(406) 293-8942
Fax
(406) 293-4708
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 1448 MT Primary

Addresses

Primary practice location

419 W 9TH St
Libby, MT 59923-1766

Mailing address

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Other names 1

  • Christy M Palmer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000746 MT Practitioner - Physical Therapist in Private Practice 0042431934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy PLLCGroup PAC ID 4385042340, 2 clinicians

Practice addresses (Care Compare)

Libby, MT 59923
Phone (406) 293-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1448MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy, PLLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Harrington Physical Therapy, PC PastSince Jul 5, 2000 Accepting new patients
Medical Development Corporation Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1932170917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990",
            "fax_number": "855-928-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W 9TH ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231766",
            "telephone_number": "406-293-8942",
            "fax_number": "406-293-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSDAL",
        "first_name": "CHRISTY",
        "middle_name": "M",
        "credential": "MPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "PALMER",
            "middle_name": "M",
            "credential": "MPT, ATC, CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.