Active NPI
Vogelzang Physical Therapy
- Sports Physical Therapist
- Missoula, MT
National Provider Identifier
1669535928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 1576PT
- Legal business name
- VOGELZANG PHYSICAL THERAPY
- Practice address
- 1900 W Broadway St Ste C
Missoula, MT 59808-1825 - Phone
- (406) 544-5679
- NPI assigned
- Dec 18, 2006
- 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
- Kevin Vogelzang, PT
- Title
- Owner
- Phone
- (406) 544-5679
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 1576PT | MT | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 1576PT | MT |
Addresses
Primary practice location
1900 W Broadway St Ste C
Missoula, MT 59808-1825
Mailing address
1900 W Broadway St Ste C
Missoula, MT 59808-1825
Phone (406) 544-5679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052326 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
1900 W Broadway St
Ste C
Missoula, MT 59808
Phone (406) 544-5679
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Missoula, MT
- NPI 1285891127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392768000000",
"number": "1669535928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W BROADWAY ST STE C",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081825",
"telephone_number": "406-544-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W BROADWAY ST STE C",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081825",
"telephone_number": "406-544-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOGELZANG PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2014-02-19",
"status": "A",
"authorized_official_last_name": "VOGELZANG",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-544-5679",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "MT",
"license": "1576PT",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "MT",
"license": "1576PT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052326",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.