Organization Active NPI

Foot and Ankle Clinic of Montana

  • Physical Therapist
  • Great Falls, MT
National Provider Identifier
1639150956
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1071PT Issued in MT
Legal business name
FOOT AND ANKLE CLINIC OF MONTANA
Practice address
1301 11TH Ave S
Evergreen Mall
Great Falls, MT 59405-4654
Phone
(406) 761-2222
Fax
(406) 761-7219
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. James G Clough, DPM
Title
Owner President
Phone
(406) 761-2222

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 75 MT
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 122 MT
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 800PT MT
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1558PT MT
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1071PT MT Primary

Addresses

Primary practice location

1301 11TH Ave S
Evergreen Mall
Great Falls, MT 59405-4654

Mailing address

1301 11TH Ave S
Evergreen Mall
Great Falls, MT 59405-4654
Phone (406) 761-2222

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0409974Benefis Foot and Ankle Clinic of Montana1301 11TH Ave S #6, Great Falls, MT 59405Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1301 11th Ave S
Ste 6
Great Falls, MT 59405
Phone (406) 761-2222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639150956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 11TH AVE S",
            "address_2": "EVERGREEN MALL",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054654",
            "telephone_number": "406-761-2222",
            "fax_number": "406-761-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 11TH AVE S",
            "address_2": "EVERGREEN MALL",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054654",
            "telephone_number": "406-761-2222",
            "fax_number": "406-761-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CLINIC OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "406-761-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MT",
            "license": "75",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MT",
            "license": "122",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "800PT",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1558PT",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1071PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.