Individual provider Active NPI

Brittany Bettenhausen, PT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1992031140
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2271 Issued in MT
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

Updated by the provider on Jul 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230801002490 MT Practitioner - Physical Therapist in Private Practice 5991166340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2271MTMDGeneral Practice Dentistry
PT-2379IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fallon Medical Complex Inc Current Accepting new patients
Fallon Medical Complex Inc CurrentSince Jun 18, 2023 Accepting new patients
Fallon Medical Complex Inc Current Accepting new patients
Fallon Medical Complex Inc CurrentSince Jun 18, 2023 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.

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.

Verify at the official NPI Registry.