Ponderosa Pines Healthcare LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

436 Issued in MT

Legal business name

PONDEROSA PINES HEALTHCARE LLC

Practice address

1341 Rosebud LN
Billings, MT 59101-6527

Phone

(406) 252-6135

NPI assigned

Jun 9, 2008

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT SERVICESAs reported in NPPES

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

Authorized official

Name

Kent Hanawalt

Title

Administrator

Phone

(406) 252-6135

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1376702886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 ROSEBUD LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591016527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 ROSEBUD LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591016527",
            "telephone_number": "406-252-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA PINES HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT SERVICES",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HANAWALT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-252-6135"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "27-5096",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie B Poling, MD
• Jodi B Pollock, PHARME
• Sam Pollock, DO
• Angela P Pond, RDH
• Ponderosa Health Care, Inc
• Gina M Poor, LAC, LCPC
• Matthew Poore
• Jennifer Pope
• Kristin Renee Pope, O.D.
• Victoria J Popiel, MS LCPC

• Physical Therapist in Billings, MT
• Providers in Billings, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.