Honani Polequaptewa, PT, MPT, CEEAA, LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1625 Issued in MT

Practice address

91 Campus Dr
PMB 1217
Missoula, MT 59801-4492

Phone

(406) 827-3659

Fax

(406) 549-3115

NPI assigned

May 25, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Health & Rehab, LLC

  dba Professional Therapy Associates

  • Physical Therapist
  • Lakeside, MT
  • NPI 1538417233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053522680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598730447",
            "telephone_number": "406-827-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMPUS DR",
            "address_2": "PMB 1217",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014492",
            "telephone_number": "406-827-3659",
            "fax_number": "406-549-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Whitewater Pl Ste D",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598604502",
            "country_code": "US",
            "telephone_number": "406-883-8101",
            "fax_number": "406-883-8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEQUAPTEWA",
        "first_name": "HONANI",
        "name_prefix": "Mr.",
        "credential": "PT, MPT, CEEAA, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Jonathan Plumier, M.D.
• Diana Podlecki, P.A.
• Adam Pohl, MS, CF-SLP
• Colleen Polakow
• Sara Anne Polanchek, EDD, LCSW
• Deborah Lynne Polk, REGISTERED PHARMACI
• Trenton Pollard, LMT
• Kimberlee Ann Pollock, L.M.T
• Kelly Polus, PAC
• Pomalo PLLC

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.