Active NPI
Jeffrey Barilla, LMT
- Specialist
- Missoula, MT
National Provider Identifier
1952730574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- LMT-LMT-LIC-3118
- Practice address
- 1116 S Russell St
Missoula, MT 59801-3511 - Phone
- (406) 541-1525
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | LMT-LMT-LIC-3118 | MT | Primary |
Addresses
Primary practice location
1116 S Russell St
Missoula, MT 59801-3511
Mailing address
1116 S Russell St
Missoula, MT 59801-3511
Phone (406) 541-1525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BE | Other | MT | BE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-LMT-LIC-3118 | MT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1952730574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 S RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598013511",
"telephone_number": "406-541-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 S RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598013511",
"telephone_number": "406-541-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARILLA",
"first_name": "JEFFREY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "LMT-LMT-LIC-3118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BE",
"identifier": "BE",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.