Performance Injury Care & Sports Medicine, Inc.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

PERFORMANCE INJURY CARE & SPORTS MEDICINE, INC.

Practice address

3150 N Montana Ave
Suite a
Helena, MT 59602-7804

Phone

(406) 422-5817

Fax

(406) 422-5928

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jamie Bragg

Title

Practice Manager

Phone

(406) 422-5817

Specialties & licenses 1

Addresses

Interoperability endpoints

• Direct secure messaging: helenasportsmed@helenasportsmed.directmessaging.net
• Direct secure messaging: jbragg@helenasportsmed.directmessaging.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Heetderks, MD

  • Orthopaedic Surgery Physician
  • Helena, MT
  • NPI 1003836164
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1619166972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N MONTANA AVE",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027804",
            "telephone_number": "406-422-5817",
            "fax_number": "406-422-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N MONTANA AVE",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027804",
            "telephone_number": "406-422-5817",
            "fax_number": "406-422-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE INJURY CARE & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "406-422-5817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Pedersen, M.S.C.C.C.S.L.P.
• Pediatric Dentistry PC
• Pediatrix Occupational Therapy for Kids, LLC
• Penny Lynn Wertenberger
• Perceptions Mental Health LLC
• Katherine Carol Perrigo, PCLC
• Michael Arthur Petaja, LCPC
• Aaron Lee Peters, PA-C
• Cortnie Reign Peters, PHARMD
• Kyla Jordan Peters, PHARMD

• All providers in Helena, MT
• Sports Medicine (Family Medicine) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.