William W Brunett, PT

Individual provider Active NPI Physical Therapist · Columbia Falls, MT

NPI 1417036153 · NPPES record last updated Jun 28, 2010

Key facts

NPI
1417036153
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
268PT (MT)
Practice address
906 9TH Street West
Suite a
Columbia Falls, MT 59912
Phone
(406) 892-0681
Fax
(406) 892-0682
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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

State licenses

LicenseStateTypeSpecialty
268MTMDRegistered Dietitian
268PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish Past Accepting new patients
Orthopedic Rehab Inc Physical Therapist Past Accepting new patients
Orthopedic Rehab Inc Physical Therapist Past
since Jun 4, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 268PT MT Yes

Addresses

Primary practice location

906 9TH Street West
Suite a
Columbia Falls, MT 59912

Mailing address

111 Sunnyview Lane
Suite B
Kalispell, MT 59901
Phone (406) 752-3597

Other identifiers

IdentifierTypeStateIssuer
61530OtherMTBCBS
650020222OtherMTRR MEDICARE
0343468MedicaidMT

Other providers in Columbia Falls, MT

All providers in Columbia Falls, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.