NPIMap

Organization Active NPI

Dodge Works PT, Inc Dba Alpine Physical Therapy

Doing business as Alpine Physical Therapy

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1306858642
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DODGE WORKS PT, INC DBA ALPINE PHYSICAL THERAPY
Doing business as
Alpine Physical Therapy
Practice address
5000 Blue Mountain Rd
Missoula, MT 59804-9207
Phone
(406) 251-2323
Fax
(406) 251-2999
NPI assigned
Aug 13, 2006
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DODGE WORKS PT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Leah Paige VersteegenNPI 1235307315
Title
Owner
Phone
(406) 251-2323

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

5000 Blue Mountain Rd
Missoula, MT 59804-9207

Mailing address

5000 Blue Mountain Rd
Missoula, MT 59804-9207
Phone (406) 251-2323

Other practice location 1

150 E Spruce St
Missoula, MT 59802-4504
Phone (406) 549-0064

Other practice location 2

812 Toole Ave Ste D
Missoula, MT 59802-2650
Phone (406) 549-0064

Other practice location 3

4915 Lower Miller Creek Rd
Missoula, MT 59803-9647
Phone (406) 541-3590

Other practice location 4

1510 S Reserve St
Missoula, MT 59801-4756
Phone (406) 251-2323

Other names 1

  • Alpine Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060919000078 MT Part B Supplier - Clinic/Group Practice 0749285179 Receives reassigned benefits from 35 practitioners
Practice locations: Missoula, MT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dodgeworks PT Inc2 organizations share this tax ID, including this one
Part of
Dodgeworks PT Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5000 Blue Mountain Rd
Missoula, MT 59804
Phone (406) 251-2323

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1306858642",
    "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": [
        {
            "address_1": "150 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024504",
            "country_code": "US",
            "telephone_number": "406-549-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Toole Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598022650",
            "country_code": "US",
            "telephone_number": "406-549-0064",
            "fax_number": "406-251-2999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4915 Lower Miller Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598039647",
            "country_code": "US",
            "telephone_number": "406-541-3590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 S Reserve St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598014756",
            "country_code": "US",
            "telephone_number": "406-251-2323",
            "fax_number": "406-251-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DODGE WORKS PT, INC DBA ALPINE PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DODGE WORKS PT INC",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "VERSTEEGEN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-251-2323"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.