Dawn Michele Clutter-Collins, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

548 Issued in MT

Practice address

900 2ND St. S. Suite 2
Great Falls, MT 59405-4014

Phone

(406) 770-3171

Fax

(406) 770-3173

NPI assigned

Nov 23, 2006

Last updated

Jul 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CMSC, LLC

  dba Great Falls Clinic Hospital

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Medicare reassignment NPD
• Northern Lights Physical Therapy, LLC

  • Physical Therapist
  • Great Falls, MT
  • NPI 1578796918
  NPD (past)

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1730254608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND ST. S. SUITE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041245",
            "telephone_number": "406-770-3171",
            "fax_number": "406-770-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND ST. S. SUITE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054014",
            "telephone_number": "406-770-3171",
            "fax_number": "406-770-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTTER-COLLINS",
        "first_name": "DAWN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Clausen, P.T.
• Lori G Clifton, CCC/SLP
• Trent C Clifton, DMD, MD
• Clinic United Pharmacy Inc (Plaza United Pharmacy)
• Clinic United Pharmacy, Inc. (Clinic Pharmacy)
• Joseph Wright Clyde, MD
• CMP Power of Healing Counseling and Treatment Center
• CMSC, LLC (Great Falls Clinic Hospital)
• CMSC, LLC (Great Falls Clinic Hospital)
• Sierra Lahti Cobb

• Physical Therapist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.