SHELBY LYNN ERDAHL (NPI# 1528620515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528620515 |
| Entity Type | Individual |
| Full Name | SHELBY LYNN ERDAHL |
| Credential | DPT, CSCS |
| Practice Address |
111 Sunnyview Lane, Ste B Kalispell MT 59901-2977 |
| Mailing Address |
117 East Oak Street, Suite 1a Bozeman MT 59715-2977 |
| Practice Telephone | 4065853701 |
| Practice Fax Number | 4065869708 |
| Mailing Telephone | 4065853701 |
| Mailing Fax Number | 4065869708 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTP-PT-LIC-17116 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 SUNNYVIEW LANE, STE B |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174703938 | Sara M Ericksen | Physical Therapist | 111 Sunnyview Lane, Ste B, Kalispell, MT 59901-3161 | 2007-11-09 |
| 1528435542 | Medical Development Corporation | Nurse Practitioner | 111 Sunnyview Lane, Ste B, Kalispell, MT 59901-5709 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710372123 | Impact Sports Physical Therapy PC | Physical Therapist | 432 E Idaho St, Ste. 431, Kalispell, MT 59901-4137 | 2015-04-02 |
| 1467789826 | Mary H Dixon | Physical Therapist | 2316 Us Highway 93 N, Kalispell, MT 59901 | 2009-11-05 |
| 1891860458 | Thomas Parkhill | Physical Therapist | 100 Westview Park Pl, Kalispell, MT 59901-3074 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
| 1346886405 | Helena Spine and Joint Rehab | Physical Therapist | 2956 Aspenway Dr, Helena, MT 59601-6601 | 2019-11-25 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1912253204 | Nicole Lynn Feliksa | Physical Therapist | 23 Lyla Ln, Plains, MT 59859-9204 | 2012-07-24 |
| 1578822821 | Fred Lerch | Physical Therapist | 117 Apple House Ln, Ste 501, Missoula, MT 59802-3324 | 2012-05-07 |
| 1013183110 | Timothy G Redfern | Physical Therapist | 472 Tammany Lane, Hamilton, MT 59840-9216 | 2008-05-08 |
| 1790981165 | Miri Allyn Disney-faller | Physical Therapist | 2244 South Ave W, Missoula, MT 59801-6502 | 2007-06-22 |
| 1740499458 | Patricia Marie Mangan | Physical Therapist | 3055 N Reserve St Ste D, Missoula, MT 59808 | 2007-05-21 |
| 1245448828 | Elizabeth R Ikeda | Physical Therapist | 3036 Queen St, Missoula, MT 59801-8651 | 2007-05-18 |
| 1205056132 | Irina Shuck | Physical Therapist | 5014 Maple Ridge Cir, Billings, MT 59106-4429 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.