NPIMap

Organization Active NPI

Foundation Therapy Services Inc

  • Speech-Language Pathologist
  • Bozeman, MT
National Provider Identifier
1104335942
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FOUNDATION THERAPY SERVICES INC
Practice address
301 Edelweiss Dr Ste 7
Bozeman, MT 59718-3931
Phone
(406) 581-8440
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Angela Renee Matsen, M.ED.NPI 1265564520
Title
Owner/SLP
Phone
(406) 219-2114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

301 Edelweiss Dr Ste 7
Bozeman, MT 59718-3931

Mailing address

301 Edelweiss Dr Ste 7
Bozeman, MT 59718-3931
Phone (406) 219-2114

Other identifiers 1

IdentifierTypeStateIssuer
7245196MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angie@foundationtherapyservices.com Direct

National Provider Directory

National Provider Directory

Locations

301 Edelweiss Dr
Ste 7
Bozeman, MT 59718
Phone (406) 219-2114

2075 Charlotte St
Ste 1
Bozeman, MT 59718
Phone (406) 556-9853

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1104335942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EDELWEISS DR STE 7",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183931",
            "telephone_number": "406-219-2114",
            "fax_number": "406-219-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EDELWEISS DR STE 7",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183931",
            "telephone_number": "406-581-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MATSEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "406-219-2114",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7245196",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angie@foundationtherapyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 Edelweiss Dr Ste 7",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597183931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.