Eric Shelkey Dba Active Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT486 Issued in MT

Legal business name

ERIC SHELKEY DBA ACTIVE PHYSICAL THERAPY

Practice address

1043 Stoneridge Dr Ste 1
Bozeman, MT 59718-7084

Phone

(406) 586-2283

Fax

(406) 586-5012

NPI assigned

Apr 17, 2014

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric G Shelkey, RPT

Title

Owner/Sole Proprietor

Phone

(406) 586-2283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1396165304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W STORY ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154555",
            "telephone_number": "406-586-2283",
            "fax_number": "406-586-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 STONERIDGE DR STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187084",
            "telephone_number": "406-586-2283",
            "fax_number": "406-586-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SHELKEY DBA ACTIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "SHELKEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "406-586-2283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "PT486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.