Individual provider Active NPI

Dallas R Vanluchene, PT, DPT

  • Physical Therapist
  • Helena, MT
National Provider Identifier
1316504442
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-17095 Issued in MT
Practice address
3051 Cabernet Drive
Suite 3
Helena, MT 59601-8644
Phone
(406) 282-1030
Fax
(406) 422-1030
NPI assigned
May 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTP-PT-LIC-17095 MT Primary

Addresses

Primary practice location

3051 Cabernet Drive
Suite 3
Helena, MT 59601-8644

Mailing address

3051 Cabernet Drive
Suite 3
Helena, MT 59601-8644
Phone (406) 282-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820003529 MT Practitioner - Physical Therapist in Private Practice 4284962879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BKL Rehab LLCGroup PAC ID 9830582642, 8 clinicians

Practice addresses (Care Compare)

3051 Cabernet Dr
Unit 3
Helena, MT 59601-8642
Phone (406) 282-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrington Physical Therapy, PC CurrentSince May 23, 2019 Accepting new patients
BKL Rehab LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

3051 Cabernet Dr
Ste 3
Helena, MT 59601
Phone (406) 282-1030

2525 Colonial Dr
Ste B
Helena, MT 59601
Phone (406) 449-4279

3130 Saddle Dr
Unit 3
Helena, MT 59601
Phone (406) 282-1030

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1316504442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CABERNET DRIVE",
            "address_2": "SUITE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018644",
            "telephone_number": "406-282-1030",
            "fax_number": "406-422-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CABERNET DRIVE",
            "address_2": "SUITE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018644",
            "telephone_number": "406-282-1030",
            "fax_number": "406-422-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLUCHENE",
        "first_name": "DALLAS",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-17095",
            "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 Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.