NPIMap

Organization Active NPI

Ascension Physical Therapy

  • Physical Therapy Clinic/Center
  • Helena, MT
National Provider Identifier
1154791598
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2425 Issued in MT
Legal business name
ASCENSION PHYSICAL THERAPY
Practice address
665 Road Runner St
Helena, MT 59602-0566
Phone
(406) 513-1422
Fax
(406) 513-1127
NPI assigned
Sep 28, 2015
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Mr. Kyle Stephen Cicero, DPTNPI 1043503303
Title
Physical Therapist/Owner
Phone
(406) 690-1956

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
Physical Therapy Clinic/Center 261QP2000X 2131 MT
Physical Therapy Clinic/Center 261QP2000X 2458 MT
Physical Therapy Clinic/Center 261QP2000X 2425 MT Primary
Durable Medical Equipment & Medical Supplies 332B00000X MT

Addresses

Primary practice location

665 Road Runner St
Helena, MT 59602-0566

Mailing address

665 Road Runner St
Helena, MT 59602-0566
Phone (406) 513-1422

Other names 1

  • Ascension Physical Therapy, PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151230000969 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072815505 Receives reassigned benefits from 9 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

3345 Colton Dr
Unit A
Helena, MT 59602
Phone (406) 513-1422

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1154791598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020566",
            "telephone_number": "406-513-1422",
            "fax_number": "406-513-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020566",
            "telephone_number": "406-513-1422",
            "fax_number": "406-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "406-690-1956",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "2131",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "2458",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "2425",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Physical Therapy, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.