Active NPI
Dillon Richard Marks, DPT
- Physical Therapist
- Bozeman, MT
National Provider Identifier
1760248348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-27466
- Practice address
- 58 Silver Leaf LN
Bozeman, MT 59718-9625 - Phone
- (406) 599-9518
- Fax
- (406) 545-3394
- NPI assigned
- Feb 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTP-PT-LIC-27466 | MT | Primary |
Addresses
Primary practice location
58 Silver Leaf LN
Bozeman, MT 59718-9625
Mailing address
58 Silver Leaf LN
Bozeman, MT 59718-9625
Phone (406) 599-9518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-27466 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1760248348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 SILVER LEAF LN",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597189625",
"telephone_number": "406-599-9518",
"fax_number": "406-545-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 SILVER LEAF LN",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597189625",
"telephone_number": "406-599-9518",
"fax_number": "406-545-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "DILLON",
"middle_name": "RICHARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-27466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.