NPIMap

Organization Active NPI

Spinerx Scoliosis and Spine Rehab, LLC

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1447938964
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINERX SCOLIOSIS AND SPINE REHAB, LLC
Practice address
32 Shawnee Way
Bozeman, MT 59715-7938
Phone
(406) 602-8861
NPI assigned
Jul 5, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Faith Ford, PT, DPTNPI 1699318923
Title
Physical Therapist and Owner
Phone
(307) 880-0692

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 Therapist 225100000X Primary

Addresses

Primary practice location

32 Shawnee Way
Bozeman, MT 59715-7938

Mailing address

1650 Davis LN Unit B
Bozeman, MT 59718-3400
Phone (307) 880-0692

Other practice location 1

2411 W Main St Ste 2
Bozeman, MT 59718-3815
Phone (406) 219-5388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828003121 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678936325 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

32 Shawnee Way
Bozeman, MT 59715
Phone (406) 602-8861

32 Shawnee Way
Ste C
Bozeman, MT 59715
Phone (406) 602-8861

32 Shawnee Way
Ste D
Bozeman, MT 59715
Phone (406) 602-8861

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1447938964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 DAVIS LN UNIT B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183400",
            "telephone_number": "307-880-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SHAWNEE WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157938",
            "telephone_number": "406-602-8861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 W Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597183815",
            "country_code": "US",
            "telephone_number": "406-219-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINERX SCOLIOSIS AND SPINE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "307-880-0692",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.