Active NPI
Kristiane Darrah, PT
- Physical Therapist
- Townsend, MT
National Provider Identifier
1992856322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1190
- Practice address
- 807 Broadway St
Townsend, MT 59644-2431 - Phone
- (406) 431-9593
- Fax
- (406) 266-4105
- NPI assigned
- Jan 14, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1190 | MT | Primary |
Addresses
Primary practice location
807 Broadway St
Townsend, MT 59644-2431
Mailing address
PO Box 5
Townsend, MT 59644-0005
Phone (406) 431-9593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0347429 | Medicaid | MT | |
| 60688 | Other | MT | BLUE CROSS BLUE SHIELD |
Other names 1
- Kristiane Van Der Linden
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1190 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992856322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "TOWNSEND",
"state": "MT",
"postal_code": "596440005",
"telephone_number": "406-431-9593",
"fax_number": "406-266-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 BROADWAY ST",
"city": "TOWNSEND",
"state": "MT",
"postal_code": "596442431",
"telephone_number": "406-431-9593",
"fax_number": "406-266-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARRAH",
"first_name": "KRISTIANE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0347429",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "60688",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIANE",
"last_name": "VAN DER LINDEN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Townsend, 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.