Active NPI
Brittany Bettenhausen, PT
- Physical Therapist
- Missoula, MT
National Provider Identifier
1992031140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2271
- Practice address
- 2651 South Ave W
Missoula, MT 59804-6405 - Phone
- (406) 728-9162
- NPI assigned
- Oct 22, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2271 | MT | Primary |
| Physical Therapist | 225100000X | PT-2379 | ID |
Addresses
Primary practice location
2651 South Ave W
Missoula, MT 59804-6405
Mailing address
2709 Garland Dr
Missoula, MT 59803-2007
Phone (406) 439-3825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2271 | MT | MD | General Practice Dentistry |
| PT-2379 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients |
Locations
710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Baker, MT
- NPI 1316965346
-
- Critical Access Hospital Clinic/Center
- Baker, MT
- NPI 1386700763
-
- Health Service Clinic/Center
- Wibaux, MT
- NPI 1043229776
-
- Medicare Defined Swing Bed Hospital Unit
- Baker, MT
- NPI 1316013022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1992031140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 GARLAND DR",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598032007",
"telephone_number": "406-439-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 SOUTH AVE W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598046405",
"telephone_number": "406-728-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTENHAUSEN",
"first_name": "BRITTANY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "2271",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2379",
"primary": false
}
],
"identifiers": [],
"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 Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.