Mission Mobile Physical Therapy LLC
Organization Active NPI Physical Therapist · Ronan, MT
NPI 1558063008 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1558063008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MISSION MOBILE PHYSICAL THERAPY LLC
- Practice address
- 37053 Baptiste Rd
Ronan, MT 59864-8610 - Phone
- (406) 273-8110
- Fax
- (406) 303-2023
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Bonnie Weijohn
- Title
- Office Manager
- Phone
- (406) 273-8110
Practitioners 1
-
Zachary Weijohn, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230418001161 | MT | Part B Supplier - Clinic/Group Practice | 6901271303 |
Receives reassigned benefits from 1 practitioner Practice locations: Ronan, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
37053 Baptiste Rd
Ronan, MT 59864-8610
Mailing address
37053 Baptiste Rd
Ronan, MT 59864-8610
Phone (406) 273-8110
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.