NPIMap

Organization Active NPI

Gold Leaf Physical Therapy, LLC

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1316218795
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2396 Issued in MT
Legal business name
GOLD LEAF PHYSICAL THERAPY, LLC
Practice address
701 Helena Ave
Helena, MT 59601-3645
Phone
(406) 442-4325
Fax
(800) 934-8039
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. Adam Eslahpazir, D.P.T.NPI 1295995207
Title
Owner
Phone
(406) 442-4325

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2396 MT Primary

Addresses

Primary practice location

701 Helena Ave
Helena, MT 59601-3645

Mailing address

PO Box 1902
Helena, MT 59624-1902
Phone (406) 442-4325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000889 MT Part B Supplier - Clinic/Group Practice 2860651684 Receives reassigned benefits from 7 practitioners
Practice locations: Helena, MT; Butte, MT

National Provider Directory

National Provider Directory
Tax ID family
Gold Leaf Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

701 Helena Ave
Helena, MT 59601
Phone (406) 437-1917

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1316218795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1902",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241902",
            "telephone_number": "406-442-4325",
            "fax_number": "800-934-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HELENA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013645",
            "telephone_number": "406-442-4325",
            "fax_number": "800-934-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD LEAF PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "ESLAHPAZIR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-442-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.