NPIMap

Organization Active NPI

Vail Physical Therapy & Sports Rehab.

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1366631319
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1024 Issued in MT
Legal business name
VAIL PHYSICAL THERAPY & SPORTS REHAB.
Practice address
316 E Babcock St
Bozeman, MT 59715-4710
Phone
(406) 539-5393
NPI assigned
Oct 16, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Juliette M Vail, PT
Title
Owner
Phone
(406) 539-5393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1024 MT Primary

Addresses

Primary practice location

316 E Babcock St
Bozeman, MT 59715-4710

Mailing address

PO Box 1762
Bozeman, MT 59771-1762

National Provider Directory

National Provider Directory

Locations

316 E Babcock St
Bozeman, MT 59715
Phone (406) 539-5393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1366631319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1762",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597711762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BABCOCK ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154710",
            "telephone_number": "406-539-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL PHYSICAL THERAPY & SPORTS REHAB.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-539-5393",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.