Organization Active NPI

Canyon Ferry Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Townsend, MT
National Provider Identifier
1427209246
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1414 Issued in MT
Legal business name
CANYON FERRY PHYSICAL THERAPY, LLC
Practice address
510 N Front St
Townsend, MT 59644-2002
Phone
(406) 266-9945
Fax
(406) 266-9945
NPI assigned
Oct 10, 2008
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Wanda Lambott, PTNPI 1487799714
Title
President
Phone
(406) 266-9945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1414 MT Primary

Addresses

Primary practice location

510 N Front St
Townsend, MT 59644-2002

Mailing address

510 N Front St
Townsend, MT 59644-2002
Phone (406) 266-9945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000306 MT Part B Supplier - Clinic/Group Practice 2668534884 Receives reassigned benefits from 1 practitioner
Practice locations: Townsend, MT

National Provider Directory

National Provider Directory

Locations

510 N Front St
Townsend, MT 59644
Phone (406) 266-9945

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1427209246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N FRONT ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442002",
            "telephone_number": "406-266-9945",
            "fax_number": "406-266-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N FRONT ST",
            "city": "TOWNSEND",
            "state": "MT",
            "postal_code": "596442002",
            "telephone_number": "406-266-9945",
            "fax_number": "406-266-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON FERRY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "LAMBOTT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-266-9945",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.