Organization Active NPI

Vogelzang Physical Therapy

  • Sports Physical Therapist
  • Missoula, MT
National Provider Identifier
1669535928
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
1576PT Issued in MT
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

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Kevin Vogelzang, PTNPI 1285891127
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)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 1576PT MT Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0052326MedicaidMT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.