Organization Active NPI

Lewistown Physical Therapy and Wellness PLLP

  • Physical Therapy Clinic/Center
  • Lewistown, MT
National Provider Identifier
1154934537
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LEWISTOWN PHYSICAL THERAPY AND WELLNESS PLLP
Practice address
265 H St Unit 2
Lewistown, MT 59457-4939
Phone
(406) 535-2919
Fax
(406) 535-2920
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Vanessa MoenNPI 1891955191
Title
Owner
Phone
(406) 535-2919

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

265 H St Unit 2
Lewistown, MT 59457-4939

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (406) 535-2919

Other practice location 1

500 Main St
Room 175
Winifred, MT 59489-0109
Phone (406) 462-5724

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030000784 MT Part B Supplier - Clinic/Group Practice 1557771631 Receives reassigned benefits from 2 practitioners
Practice locations: Lewistown, MT; Winifred, MT

National Provider Directory

National Provider Directory

Locations

265 H St
#2
Lewistown, MT 59457
Phone (406) 535-2919

611 NE Main St
Ste 1
Lewistown, MT 59457
Phone (406) 535-2919

Practitioners & affiliated clinicians

Practitioners 2

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1154934537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "406-535-2919",
            "fax_number": "406-535-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 H ST UNIT 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594574939",
            "telephone_number": "406-535-2919",
            "fax_number": "406-535-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Main St",
            "address_2": "Room 175",
            "address_purpose": "LOCATION",
            "city": "Winifred",
            "state": "MT",
            "postal_code": "594890109",
            "country_code": "US",
            "telephone_number": "406-462-5724",
            "fax_number": "406-535-2920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEWISTOWN PHYSICAL THERAPY AND WELLNESS PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-535-2919"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.