Bryce Allen Yasenak, DPT
Individual provider Active NPI Physical Therapist · Darby, MT
NPI 1366481681 · NPPES record last updated Jan 17, 2008
Key facts
- NPI
- 1366481681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1759 (MT)
- Practice address
- 502 N Main Street
Suite 900
Darby, MT 59829 - Phone
- (406) 821-2021
- Fax
- (406) 821-1120
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hamilton Physical Therapy PC
Practice addresses (Care Compare)
267 Rodeo Dr
Florence, MT 59833-6855
Phone (406) 273-9033
336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone (406) 375-0980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041112000990 | MT | Practitioner - Physical Therapist in Private Practice | 3072577717 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1759 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Mountain View Physical Therapy and Sports Injury Clinic, Inc | Past |
Accepting new patients |
Locations
267 Rodeo Dr
Florence, MT 59833
Phone (406) 273-9033
336 Fairgrounds Rd
Ste B
Hamilton, MT 59840
Phone (406) 285-8342
336 Fairgrounds Rd
Hamilton, MT 59840
Phone (406) 375-0980
472 Tammany Ln
Hamilton, MT 59840
Phone (406) 363-2816
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1759 | MT | Yes |
Addresses
Primary practice location
502 N Main Street
Suite 900
Darby, MT 59829
Mailing address
336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone (406) 375-0980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401224 | Medicaid | MT | |
| 626010 | Other | MT | BCBS |
Other providers in Darby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.