Advanced Practice Physical Therapy
Organization Active NPI Physical Therapy Clinic/Center · Great Falls, MT
NPI 1720375595 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1720375595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ADVANCED PRACTICE PHYSICAL THERAPY
- Practice address
- 900 2ND St. S. Suite 2
Great Falls, MT 59405-4014 - Phone
- (406) 781-2247
- NPI assigned
- Jun 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Andrea Johnson, MS PT
- Title
- Physical Therapist
- Phone
- (406) 781-2247
Practitioners 7
-
Kate Ann Erickson, PT, DPT
-
Andrea C Johnson, MS, PT
-
Victoria Quintana, PT, DPT
-
Donna Louise Vinnedge, P.T.
-
Annika Marie Vanryzin, PT, DPT
-
Jodi Knable, DPT
-
Brittany Mooney, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110830000599 | MT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5294905279 |
Receives reassigned benefits from 7 practitioners Practice locations: Great Falls, MT |
National Provider Directory
Locations
601 9th St S
Great Falls, MT 59405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
900 2ND St. S. Suite 2
Great Falls, MT 59405-4014
Mailing address
900 2ND St. S. Suite 2
Great Falls, MT 59405-4014
Phone (406) 770-3171
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.