Active NPI
Benton Physical Therapy
- Physical Therapist
- Fort Benton, MT
National Provider Identifier
1477676492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1597PT
- Legal business name
- BENTON PHYSICAL THERAPY
- Practice address
- 1510 Saint Charles St.
Fort Benton, MT 59442 - Phone
- (406) 622-3684
- Fax
- (406) 622-5047
- NPI assigned
- Apr 6, 2007
- Last updated
- Aug 1, 2023
- 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
- Miss Dawn M Nelson, P.T.
- Title
- President
- Phone
- (406) 622-3684
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1597PT | MT | Primary |
Addresses
Primary practice location
1510 Saint Charles St.
Fort Benton, MT 59442
Mailing address
PO Box 3
Fort Benton, MT 59442-0003
Phone (406) 622-3684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Fort Benton, MT
- NPI 1174623979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1477676492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "594420003",
"telephone_number": "406-622-3684",
"fax_number": "406-622-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 SAINT CHARLES ST.",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "59442",
"telephone_number": "406-622-3684",
"fax_number": "406-622-5047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENTON PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-622-3684",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1597PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benton, MT
- Robert H Anderson, PA C
- Natalie Dawn Bahnmiller
- Benefis Community Hospitals, Inc. (Benefis Medical Clinic)
- Benton Pharmacy Inc (Benton Pharmacy)
- Jace A Bird, DO
- Victoria Ann Birkeland, FNP
- Stanley Brammeier, FNP
- Chouteau County (New Horizons Recovery)
- Chouteau County District Hospital (Missouri River Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.