Active NPI
Wendy Sitter, PT
- Pediatric Physical Therapist
- Polson, MT
National Provider Identifier
1972608040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1571
- Practice address
- 508 3Rd Ave E
Polson, MT 59860-2411 - Phone
- (406) 261-7742
- Fax
- (406) 883-0760
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1571 | MT | Primary |
Addresses
Primary practice location
508 3Rd Ave E
Polson, MT 59860-2411
Mailing address
508 3Rd Ave E
Polson, MT 59860-2411
Phone (406) 261-7742
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61341 | Other | MT | BLUE CHIP |
| 3400714 | Medicaid | MT |
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 |
|---|---|---|---|
| 1571 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972608040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 3RD AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "598602411",
"telephone_number": "406-261-7742",
"fax_number": "406-883-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 3RD AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "598602411",
"telephone_number": "406-261-7742",
"fax_number": "406-883-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITTER",
"first_name": "WENDY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MT",
"license": "1571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "61341",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400714",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Polson, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.