Bozeman Manual Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

633PT Issued in MT

Legal business name

BOZEMAN MANUAL THERAPY PC

Practice address

1700 West Koch
Suite 12
Bozeman, MT 59715

Phone

(406) 587-6057

Fax

(406) 587-2177

NPI assigned

Jan 11, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen L Hisey, PTNPI 1790877439

Title

Physical Therapist

Phone

(406) 587-6057

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stephen L Hisey Other name

Locations

Practitioners 2

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.

• Stephen Hisey, PT

  • Orthopedic Physical Therapist
  • Bozeman, MT
  • NPI 1790877439
  Authorized official Same address or phone
• Julie A Hisey, PT

  • Physical Therapist
  • Bozeman, MT
  • NPI 1962068767
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508845363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST KOCH",
            "address_2": "SUITE 12",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-6057",
            "fax_number": "406-587-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WEST KOCH",
            "address_2": "SUITE 12",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-6057",
            "fax_number": "406-587-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN MANUAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HISEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-587-6057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "633PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401139",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61058",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen L Hisey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bozeman Health Deaconess Hospital (Bozeman Health Interfacility Transport)
• Bozeman Health Deaconess Hospital
• Bozeman Health Deaconess Hospital (Highland Park Pharmacy)
• Bozeman Health Deaconess Hospital
• Bozeman Health Urgent Care
• Bozeman Medical Imaging, LLC (Bozeman MRI)
• Bozeman Oral Surgery and Implant Center
• Bozeman Partners LLC -Dba- (Spring Creek Inn)
• Bozeman Podiatric Clinic Inc
• Bozeman Primary Care PLLC (Bozeman Primary Care)

• Physical Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.