Gateway Physical Therapy and Wellness PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1515MT Issued in MT

Legal business name

GATEWAY PHYSICAL THERAPY AND WELLNESS PC

Practice address

1211 S Reserve St
Suite 202E
Missoula, MT 59801-3101

Phone

(406) 728-2473

Fax

(406) 542-6393

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judy A Lohman

Title

Office Manager President

Phone

(406) 728-2493

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Brenda L Dahl, MSPT

  • Physical Therapist
  • Florence, MT
  • NPI 1760531750
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770785263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST",
            "address_2": "SUITE 202E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013101",
            "telephone_number": "406-728-2473",
            "fax_number": "406-542-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST",
            "address_2": "SUITE 202E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013101",
            "telephone_number": "406-728-2473",
            "fax_number": "406-542-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOHMAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER  PRESIDENT",
        "authorized_official_telephone_number": "406-728-2493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1515MT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00600030",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Garrett, D.D.S.
• Gary P. Harvey MD PC
• Henry H Gary, M.D.
• Joseph Michael Gassenberg, MD
• Jessi Gates Brock, LMT
• Gathering Place Counseling Center PLLC
• Kelsey Marie Gauthier, RD, LN
• Amy Gazy, SWLC
• Krystin Gehrich
• Katelynn Geist

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.