Ryan Chang, DPT – Physical Therapist in Billings, MT

Key facts

NPI: 1508434705
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 12216 (MN)
Practice address: 1741 Grand Ave
Billings, MT 59102-2937
Phone: (406) 969-6610
Fax: (406) 969-6611
NPI assigned: Jun 14, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Lone Peak Physical Therapy Inc. Physical Therapist · Big Sky, MT · NPI 1477678969

Medicare reassignment Care Compare group NPD MT · PHYSICAL THERAPIST
Lone Peak Physical Therapy Inc Durable Medical Equipment & Medical Supplies · Bozeman, MT · NPI 1740070564

Care Compare group NPD PHYSICAL THERAPIST
Lone Peak Physical Therapy Inc Durable Medical Equipment & Medical Supplies · Billings, MT · NPI 1811700305

Care Compare group
Lone Peak Physical Therapy, Inc. Occupational Therapist · Bozeman, MT · NPI 1619305752

NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Lone Peak Physical Therapy Inc (42 clinicians)

Practice addresses (Care Compare)

1741 Grand Ave
Billings, MT 59102-2937
Phone (406) 969-6610

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210826002942	MT	Practitioner - Physical Therapist in Private Practice	2466857586	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Lone Peak Physical Therapy, Inc.	Physical Therapist	Current since Jul 2, 2021	Accepting new patients
Lone Peak Physical Therapy Inc.	Physical Therapist	Current	Accepting new patients
Lone Peak Physical Therapy Inc	Physical Therapist	Current since Jul 2, 2021	Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

1741 Grand Ave
Billings, MT 59102
Phone (406) 969-6610

1686 Shiloh Rd
Ste 1
Billings, MT 59106
Phone (406) 534-3231

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	12216	MN	Yes

Addresses

Primary practice location

1741 Grand Ave
Billings, MT 59102-2937

Mailing address

PO Box 11629
Bozeman, MT 59719-1629
Phone (406) 522-7488

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	Bozeman	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 14, 2021.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1508434705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11629",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597191629",
            "telephone_number": "406-522-7488",
            "fax_number": "406-522-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022937",
            "telephone_number": "406-969-6610",
            "fax_number": "406-969-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bozeman",
            "affiliation": "N",
            "endpointDescription": "Lone Peak Physical Therapy location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1741 Grand Ave",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591022937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

All providers in Billings, MT · Physical Therapist in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.