Active NPI
Kate M Skinner, DPT
- Physical Therapist
- Missoula, MT
National Provider Identifier
1962483743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1938
- Practice address
- 2819 Great Northern Loop
Ste 300
Missoula, MT 59808-1750 - Phone
- (406) 317-1121
- Fax
- (406) 317-1875
- NPI assigned
- Nov 9, 2005
- 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 | 1938 | MT | Primary |
Addresses
Primary practice location
2819 Great Northern Loop
Ste 300
Missoula, MT 59808-1750
Mailing address
2819 Great Northern Loop
Ste 300
Missoula, MT 59808-1750
Phone (406) 317-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604550 | Other | MT | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051101001120 | MT | Practitioner - Physical Therapist in Private Practice | 3274550876 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Divide Physical Therapy LLC
Practice addresses (Care Compare)
2819 Great Northern Loop
Suite 300
Missoula, MT 59808-1750
Phone (406) 317-1121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1938 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Divide Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Hamilton Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
2819 Great Northern Loop
Ste 300
Missoula, MT 59808
Phone (406) 317-1121
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Missoula, MT
- NPI 1336575711
MT, Physical Therapist
-
- Physical Therapy Clinic/Center
- Hamilton, MT
- NPI 1023057064
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1962483743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 GREAT NORTHERN LOOP",
"address_2": "STE 300",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081750",
"telephone_number": "406-317-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 GREAT NORTHERN LOOP",
"address_2": "STE 300",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081750",
"telephone_number": "406-317-1121",
"fax_number": "406-317-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "KATE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "604550",
"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 Aug 10, 2020; 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.