Mission Valley Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

641 Issued in MT

Legal business name

MISSION VALLEY PHYSICAL THERAPY, PC

Practice address

301 16TH Ave E
Polson, MT 59860-3720

Phone

(406) 883-6863

Fax

(406) 883-6868

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Lindsy B Campbell, PTNPI 1699144105

Title

Physical Therapist/Owner

Phone

(406) 883-6863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 3

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

• Lindsy Briann Campbell, DPT

  • Physical Therapist
  • Polson, MT
  • NPI 1699144105
  Medicare reassignment NPD Authorized official
• Leslie Marty, PTA

  • Physical Therapist
  • Polson, MT
  • NPI 1578005435
  NPD (past)
• Patricia Shekitka Rodrique, PT

  • Physical Therapist
  • Polson, MT
  • NPI 1861556003
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1194076182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 14TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603626",
            "telephone_number": "406-883-6863",
            "fax_number": "406-883-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 16TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603720",
            "telephone_number": "406-883-6863",
            "fax_number": "406-883-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LINDSY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "406-883-6863",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Justin Monroe Morgan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.