Brent Alan Dodge, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

709 Issued in MT

Practice address

5000 Blue Mountain Rd
Missoula, MT 59804-9207

Phone

(406) 251-2323

Fax

(406) 251-2999

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Montana Athletic Club

  • Physical Therapist
  • Missoula, MT
  • NPI 1043329121
  NPD (past)
• Peak Performance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1871581058

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1194743948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049207",
            "telephone_number": "406-251-2323",
            "fax_number": "406-251-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049207",
            "telephone_number": "406-251-2323",
            "fax_number": "406-251-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Dobie, SLP
• Doctor Amy Haynes Inc
• Doctor Carla LLC
• Dodge Works PT, Inc Dba Alpine Physical Therapy
• Dodge Works PT, Inc Dba Alpine Physical Therapy
• Justina Kelsey Dodge, LCSW
• Scott M Doherty, PA
• Kevin Brian Dohr, PH.D.
• Paul K. Dokey, LCSW
• Kathryn Dolese, PT

• 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 Oct 2, 2014; 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.