Alyssa K Deane

Individual provider Active NPI Physical Therapist · Bozeman, MT

NPI 1376274175 · NPPES record last updated Jun 22, 2022

Key facts

NPI
1376274175
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
24294 (MT)
Practice address
4515 Valley Commons Dr Ste 101
Bozeman, MT 59718-4531
Phone
(406) 404-1897
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Performance & Rehabilitation Services Inc Physical Therapist Current
since Jul 6, 2022
Accepting new patients
Alyssa Deane Performance Physio Current Accepting new patients

Locations

1532 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 587-4501

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24294 MT Yes

Addresses

Primary practice location

4515 Valley Commons Dr Ste 101
Bozeman, MT 59718-4531

Mailing address

4515 Valley Commons Dr Ste 101
Bozeman, MT 59718-4531
Phone (406) 404-1897

Other providers in Bozeman, MT

All providers in Bozeman, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.