NPIMap

Organization Active NPI

Excel Orthopedic Physical Therapy, Inc.

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1467537522
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCEL ORTHOPEDIC PHYSICAL THERAPY, INC.
Practice address
1823 W College St Ste 100
Bozeman, MT 59715-4915
Phone
(406) 556-0562
Fax
(406) 556-0965
NPI assigned
Oct 26, 2006
Last updated
May 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Tiffany Coletta
Title
Owner
Phone
(406) 556-0562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1823 W College St Ste 100
Bozeman, MT 59715-4915

Mailing address

1823 W College St Ste 100
Bozeman, MT 59715-4915
Phone (406) 556-0562

Other practice location 1

220 Wooden Shoe Ln Ste C
Manhattan, MT 59741-8379
Phone (406) 284-4262

National Provider Directory

National Provider Directory

Locations

1125 W Kagy Blvd
Ste 101A
Bozeman, MT 59715
Phone (406) 556-0562

220 Wooden Shoe Ln
Ste C
Manhattan, MT 59741
Phone (406) 284-4262

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1467537522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 W COLLEGE ST STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154915",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 W COLLEGE ST STE 100",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154915",
            "telephone_number": "406-556-0562",
            "fax_number": "406-556-0965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Wooden Shoe Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "MT",
            "postal_code": "597418379",
            "country_code": "US",
            "telephone_number": "406-284-4262",
            "fax_number": "406-284-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCEL ORTHOPEDIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "COLETTA",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-556-0562"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 May 7, 2018; 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.