Ryan M Takeshita, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27185 Issued in MT

Practice address

777 E Main St Ste 108
Bozeman, MT 59715-3809

Phone

(406) 589-6083

Fax

(406) 219-0403

NPI assigned

Aug 25, 2023

Sex

Male

Sole proprietor

No

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

Locations

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.

• Gabel PT Plus Wellness LLC

  • Physical Therapy Clinic/Center
  • Bozeman, MT
  • NPI 1689140287

  Physical Therapist

  NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1245015585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GARDNER PARK DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159229",
            "telephone_number": "406-589-6083",
            "fax_number": "406-219-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 108",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153809",
            "telephone_number": "406-589-6083",
            "fax_number": "406-219-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKESHITA",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "27185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synapse Physical Therapy PLLC
• Systems Counseling and Consulting LLC
• Elizabeth Erin Tafesse, M.ED., BCBA, LBA
• Emily M Tage
• Jennifer Adella Tainter, LCPC
• Darla Tande, PT
• Jason A Tanguay, DDS
• Veronika Magali Tapia Giron, RDN
• Lindsay Booth Tarkleson, DDS
• Heather Lynn Tasker, APRN, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.