Active NPI
Mike Rider, PT, DPT
- Physical Therapist
- Helena, MT
National Provider Identifier
1326147174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2011PT
- Practice address
- 417 N Benton Ave
Helena, MT 59601-5041 - Phone
- (406) 495-8995
- Fax
- (406) 495-8996
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2011PT | MT | Primary |
Addresses
Primary practice location
417 N Benton Ave
Helena, MT 59601-5041
Mailing address
417 N Benton Ave
Helena, MT 59601-5041
Phone (406) 495-8995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011 | MT | MD | Dentist |
| 2011PT | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehab, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Helena, MT
- NPI 1780783506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326147174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 N BENTON AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596015041",
"telephone_number": "406-495-8995",
"fax_number": "406-495-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N BENTON AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596015041",
"telephone_number": "406-495-8995",
"fax_number": "406-495-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "MIKE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "2011PT",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.