NPIMap

Organization Active NPI

Little Lighthouse Therapy, PLLC

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1760628226
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2032 Issued in MT
Legal business name
LITTLE LIGHTHOUSE THERAPY, PLLC
Practice address
420 N 9TH Ave
Bozeman, MT 59715-3330
Phone
(406) 219-3477
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Mr. Shad R James, P.T.NPI 1891731071
Title
Physical Therapist/ Owner
Phone
(406) 219-3477

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2032 MT Primary

Addresses

Primary practice location

420 N 9TH Ave
Bozeman, MT 59715-3330

Mailing address

420 N 9TH Ave
Bozeman, MT 59715-3330
Phone (406) 219-3477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1760628226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 9TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153330",
            "telephone_number": "406-219-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N 9TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153330",
            "telephone_number": "406-219-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LIGHTHOUSE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "406-219-3477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2032",
            "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 Jan 5, 2009; 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.