Active NPI
Kristen Bade DPT LLC
- Physical Therapy Clinic/Center
- Missoula, MT
National Provider Identifier
1992474167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KRISTEN BADE DPT LLC
- Practice address
- 1612 Defoe St
Missoula, MT 59802-1911 - Phone
- (406) 546-0783
- NPI assigned
- Sep 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Bade, DPT
- Title
- Physical Therapist
- Phone
- (406) 546-0783
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1612 Defoe St
Missoula, MT 59802-1911
Mailing address
1612 Defoe St
Missoula, MT 59802-1911
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1992474167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 DEFOE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598021911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 DEFOE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598021911",
"telephone_number": "406-546-0783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTEN BADE DPT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "BADE",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "406-546-0783",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"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 Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.