Active NPI
Elisa Filonczuk, LMT
- Massage Therapist
- Bozeman, MT
National Provider Identifier
1487025318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 873
- Practice address
- 2100 Fairway Dr Ste 208
Bozeman, MT 59715-5817 - Phone
- (406) 366-5694
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 873 | MT | Primary |
Addresses
Primary practice location
2100 Fairway Dr Ste 208
Bozeman, MT 59715-5817
Mailing address
609 Fieldstone Dr
Bozeman, MT 59715-7114
Phone (406) 366-5694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1487025318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 FIELDSTONE DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597157114",
"telephone_number": "406-366-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 FAIRWAY DR STE 208",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155817",
"telephone_number": "406-366-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILONCZUK",
"first_name": "ELISA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "873",
"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 Feb 5, 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.