Active NPI
Lise Christene Spencer, PT, DPT
- Physical Therapist
- Belgrade, MT
National Provider Identifier
1326752718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 312 W Main St Ste 1
Belgrade, MT 59714-3836 - Phone
- (406) 388-2235
- Fax
- (406) 388-2281
- NPI assigned
- Jan 10, 2023
- Last updated
- Jan 10, 2023
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
312 W Main St Ste 1
Belgrade, MT 59714-3836
Mailing address
PO Box 11629
Bozeman, MT 59719-1629
Phone (406) 522-7488
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Belgrade | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 E Oak St
Suite 1a
Bozeman, MT 59715-2977
Phone (406) 585-3701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Therapeutics LLC | Current | Accepting new patients | |
| Vitalimd, PC | Past | Accepting new patients |
Locations
117 E Oak St
Ste 1A
Bozeman, MT 59715
Phone (406) 404-6110
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Bozeman, MT
- NPI 1659600203
-
- Physical Medicine & Rehabilitation Physician
- Bozeman, MT
- NPI 1477071728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1326752718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11629",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597191629",
"telephone_number": "406-522-7488",
"fax_number": "406-522-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 W MAIN ST STE 1",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597143836",
"telephone_number": "406-388-2235",
"fax_number": "406-388-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "LISE",
"middle_name": "CHRISTENE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Belgrade",
"affiliation": "N",
"endpointDescription": "Lone Peak Physical Therapy location",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "312 W Main St Ste 1",
"city": "Belgrade",
"state": "MT",
"country_code": "US",
"postal_code": "597143836",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.