Active NPI
Foot and Ankle Clinic of Montana
- Physical Therapist
- Great Falls, MT
National Provider Identifier
1639150956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1071PT
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 75 | MT | |
| Podiatrist | 213E00000X | 122 | MT | |
| Physical Therapist | 225100000X | 800PT | MT | |
| Physical Therapist | 225100000X | 1558PT | MT | |
| Physical Therapist | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0409974 | Benefis Foot and Ankle Clinic of Montana | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Great Falls, MT
- NPI 1104807411
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.