NPIMap

Organization Active NPI

Michael Hamblock

  • Physical Therapist
  • Butte, MT
National Provider Identifier
1366442717
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
374PT Issued in MT
Legal business name
MICHAEL HAMBLOCK
Practice address
3718 E Lake Dr
Suite a
Butte, MT 59701-4314
Phone
(406) 494-7050
Fax
(406) 494-1424
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Mike H Hamblock, PT
Title
Owner
Phone
(406) 494-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 374PT MT Primary

Addresses

Primary practice location

3718 E Lake Dr
Suite a
Butte, MT 59701-4314

Mailing address

3718 E Lake Dr
Suite a
Butte, MT 59701-4314
Phone (406) 494-7050

Other identifiers 4

IdentifierTypeStateIssuer
0346112MedicaidMT
CK8659OtherMTTRICARE
MSF1190526OtherMTMONTANA STATE FUND
CK8659OtherMTRAILROAD MEDICARE

Other names 1

  • SILVER BOW PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1366442717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 E LAKE DR",
            "address_2": "SUITE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014314",
            "telephone_number": "406-494-7050",
            "fax_number": "406-494-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 E LAKE DR",
            "address_2": "SUITE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014314",
            "telephone_number": "406-494-7050",
            "fax_number": "406-494-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HAMBLOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "HAMBLOCK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-494-7050",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "374PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346112",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "CK8659",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE FUND",
            "identifier": "MSF1190526",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8659",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER BOW PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.