Active NPI
Powell County Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Deer Lodge, MT
National Provider Identifier
1427128495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- POWELL COUNTY PHYSICAL THERAPY
- Practice address
- 1101 Maryland Ave
Deer Lodge, MT 59722-1806 - Phone
- (406) 846-1991
- Fax
- (406) 846-1347
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph P. McGillis, P.T.
- Title
- Owner
- Phone
- (406) 846-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1101 Maryland Ave
Deer Lodge, MT 59722-1806
Mailing address
1101 Maryland Ave
Deer Lodge, MT 59722-1806
Phone (406) 846-1991
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0343720 | Medicaid | MT | |
| MSF 1179681 | Other | MT | MT STATE FUND GRP. # |
| 0073143 | Other | MT | MT STATE FUND PROV. # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1427128495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MARYLAND AVE",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221806",
"telephone_number": "406-846-1991",
"fax_number": "406-846-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MARYLAND AVE",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221806",
"telephone_number": "406-846-1991",
"fax_number": "406-846-1347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWELL COUNTY PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "MCGILLIS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-846-1991",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0343720",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE FUND GRP. #",
"identifier": "MSF 1179681",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE FUND PROV. #",
"identifier": "0073143",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deer Lodge, MT
- Powell County Health Department
- Powell County High School
- Powell County Memorial Hospital Association Inc (Deer Lodge Medical Center)
- Powell County Memorial Hospital Association Inc (Deer Lodge Medical Center)
- Powell County Memorial Hospital Association Inc (Deer Lodge Medical Center)
- Powell Emergency Medical Service
- Premier Family Practice, P.C.
- Providence Health & Services Mt (PMG MT IHI Deer Lodge)
- Summera Qamar, MD
- Thomas G. Rachie, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.