Aleisha Gornick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-13025 Issued in MT

Practice address

110 Main St
Anaconda, MT 59711-2252

Phone

(406) 563-0797

Fax

(406) 563-0796

NPI assigned

Nov 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Copper City Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Butte, MT
  • NPI 1972908945
  NPD (past)

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1235774928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W BROADWAY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597018941",
            "telephone_number": "406-546-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112252",
            "telephone_number": "406-563-0797",
            "fax_number": "406-563-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3718 E Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597014388",
            "country_code": "US",
            "telephone_number": "406-299-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORNICK",
        "first_name": "ALEISHA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-13025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Strata",
            "affiliation": "N",
            "endpointDescription": "ELectronic Medical Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Notes",
            "address_1": "3718 E Lake Dr",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailey Giacomini
• Jamie Beth Goldberg, ACNP/PMHNP
• Jeffrey Edward Goldberg, PHARMD
• Allison Goodman
• Debra A Gorman-Badar, PT
• Kirstie Jenae Gorthy, CRNA
• Matthew T Graf, M.D.
• Marcella E Grayson, L.C.S.W., L.A.C
• Gypsy Ray LCSW LLC
• Myranda Hardy, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.