Zachary Porter Lasalle

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1868PT Issued in MT

Legal business name

ZACHARY PORTER LASALLE

Doing business as

LaSalle Physical Therapy LLC

Practice address

734 9TH St W Ste 12
Columbia Falls, MT 59912-3858

Phone

(406) 471-2022

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Zachary Porter Lasalle, PT

Title

Physical Therapist

Phone

(406) 471-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LaSalle Physical Therapy LLC Doing business as

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1629384367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 9TH ST W STE 12",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123858",
            "telephone_number": "406-471-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 9TH ST W STE 12",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123858",
            "telephone_number": "406-471-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY PORTER LASALLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "LASALLE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "406-471-2022",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "1868PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "M011000799",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaSalle Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tawn Williams
• Josie Rae Windauer
• Joshua Wright, DDS
• Joshua Young, DPT
• Troy R Ypma, O.D.
• Abigail Zaremba, PT, DPT
• Aaron Lloyd Zummallen, RN/PRACTITIONER

• Physical Therapy Clinic/Center in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.