Active NPI
Deer Lodge Valley Therapy
- Physical Therapy Clinic/Center
- Deer Lodge, MT
National Provider Identifier
1750600375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 100PT
- Legal business name
- DEER LODGE VALLEY THERAPY
- Practice address
- 310 Main St
Deer Lodge, MT 59722-1000 - Phone
- (406) 846-3448
- Fax
- (406) 846-2298
- NPI assigned
- May 21, 2010
- Last updated
- May 21, 2010
- 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
- Mrs. Ronda Wangerin, P.T.
- Title
- Ower/Physical Therapist
- Phone
- (406) 846-3448
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 100PT | MT | Primary |
Addresses
Primary practice location
310 Main St
Deer Lodge, MT 59722-1000
Mailing address
310 Main St
Deer Lodge, MT 59722-1000
Phone (406) 846-3448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487716734 | Medicaid | MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Deer Lodge, MT
- NPI 1487716734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274400000000",
"number": "1750600375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221000",
"telephone_number": "406-846-3448",
"fax_number": "406-846-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221000",
"telephone_number": "406-846-3448",
"fax_number": "406-846-2298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEER LODGE VALLEY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-21",
"last_updated": "2010-05-21",
"status": "A",
"authorized_official_last_name": "WANGERIN",
"authorized_official_first_name": "RONDA",
"authorized_official_title_or_position": "OWER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "406-846-3448",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MT",
"license": "100PT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487716734",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deer Lodge, MT
- Jodi Lynn Cozby, FNP - C
- Daniel Sean Curran, FNP
- Deer Lodge Care Holdings, LLC (Invigorate Post Acute of Deer Lodge)
- Deer Lodge Nursing and Rehab Center, LLC (Mountain Valley Nursing and Rehabilitation)
- Deer Lodge School District
- Deer Lodge Valley Therapy Clinic, Inc.
- Rand Dickson
- Lori Lee Drumm, D.O.
- Jami Raye Eads, LCPC
- Elevation Dental Deer Lodge PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.