Montana Plains Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MONTANA PLAINS REHABILITATION PC

Practice address

500 15TH Ave S
Suite One
Great Falls, MT 59405-4304

Phone

(406) 455-2149

Fax

(406) 455-2141

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bill John Tacke, MDNPI 1336124288

Title

President

Phone

(406) 455-2140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Bill J Tacke, MD

  • Physical Medicine & Rehabilitation Physician
  • Great Falls, MT
  • NPI 1336124288
  NPD (past) Authorized official
• James D Hinde, MD

  • Physical Medicine & Rehabilitation Physician
  • Great Falls, MT
  • NPI 1053397422
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1679550107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "address_2": "SUITE ONE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054304",
            "telephone_number": "406-455-2140",
            "fax_number": "406-455-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 15TH AVE S",
            "address_2": "SUITE ONE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054304",
            "telephone_number": "406-455-2149",
            "fax_number": "406-455-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA PLAINS REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "TACKE",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-455-2140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C01336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Physical Medicine & Rehabilitation Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.