Organization Active NPI

Montana Core Physio

  • Physical Therapy Clinic/Center
  • Bozeman, MT
National Provider Identifier
1538840657
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MONTANA CORE PHYSIO
Practice address
233 Edelweiss Dr Unit 10a
Bozeman, MT 59718-3935
Phone
(406) 595-1920
NPI assigned
Jul 31, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Megan Ann Phillips, DPTNPI 1609191626
Title
Partner
Phone
(858) 900-8108

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

233 Edelweiss Dr Unit 10a
Bozeman, MT 59718-3935

Mailing address

233 Edelweiss Dr Unit 10a
Bozeman, MT 59718-3935
Phone (406) 595-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919000876 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800250275 Receives reassigned benefits from 4 practitioners
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

233 Edelweiss Dr
Ste 10A
Bozeman, MT 59718
Phone (406) 595-1920

233 Edelweiss Dr
Ste 9
Bozeman, MT 59718
Phone (406) 595-1920

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1538840657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 EDELWEISS DR UNIT 10A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183935",
            "telephone_number": "406-595-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 EDELWEISS DR UNIT 10A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183935",
            "telephone_number": "406-595-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA CORE PHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "858-900-8108",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "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 Sep 21, 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.

Verify at the official NPI Registry.