Carley Bostrom

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTP-PTA-LIC-6028 Issued in MT

Practice address

1200 N Montana Ave FL 2
Helena, MT 59601-3515

Phone

(406) 449-3060

NPI assigned

Jul 15, 2015

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fischer Physical Therapy

  • Physical Therapist
  • Helena, MT
  • NPI 1417053091
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1760866230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MONTANA AVE FL 2",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MONTANA AVE FL 2",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013515",
            "telephone_number": "406-449-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Neill Ave",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596013391",
            "country_code": "US",
            "telephone_number": "406-449-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTROM",
        "first_name": "CARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "PTP-PTA-LIC-6028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl E Book, M.D.
• Lynne M Boone, OTR/R
• Boshart Physical Therapy PLLC (Ability Physical Therapy PLLC)
• Haley Kay Boshart, PT, DPT
• Alex Bostrom, SWLC
• Jesse N Bostrom, DPT
• Daniel Craig Bothwell, D.O.
• Martha Bottelson, LCPC
• Justin Bouma, DO
• Cheryl Jenavieve Bouvier, LCSW RPTS

• Physical Therapy Assistant in Helena, MT
• Providers in Helena, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.