Center for Physical Therapy & Wellness Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CENTER FOR PHYSICAL THERAPY & WELLNESS INC

Practice address

1309 Harrison Ave
Butte, MT 59701-4801

Phone

(406) 782-5887

Fax

(406) 782-8772

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Ann Sullivan, PTNPI 1710060918

Title

President/PT

Phone

(406) 782-5887

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Tax ID family

Balanced Physical Therapy Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Center of Physical Therapy & Wellness

  dba Balanced Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1104908805
  NPD tax ID

Locations

Practitioners 10

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

• Shelley Sullivan, P.T.

  • Orthopedic Physical Therapist
  • Butte, MT
  • NPI 1710060918
  Medicare reassignment Authorized official
• Rachel S Ames, PT

  • Physical Therapist
  • Missoula, MT
  • NPI 1578606596
  NPD (past)
• Dulcinea A Berube, MSPT

  • Physical Therapist
  • Columbia Falls, MT
  • NPI 1942462270
  NPD (past)
• Steven Wayne Coon, PT

  • Physical Therapist
  • Hamilton, MT
  • NPI 1376756940
  NPD (past)
• Renee L Gibson, MSPT

  • Physical Therapist
  • Hamilton, MT
  • NPI 1639390495
  NPD (past)
• Robert Gillespie, PT

  • Physical Therapist
  • Missoula, MT
  • NPI 1952465379
  NPD (past)
• Jacqueline J. McAdam

  • Physical Therapist
  • Butte, MT
  • NPI 1871690834
  NPD (past)
• Ragna Thorne-Thomsen, PT

  • Physical Therapist
  • Missoula, MT
  • NPI 1245394659
  NPD (past)
• Ronda L Wangerin, P.T.

  • Physical Therapist
  • Deer Lodge, MT
  • NPI 1487716734
  NPD (past)
• Kerry Kathleen Suarez, PT

  • Physical Therapist
  • Hermiston, OR
  • NPI 1336194158
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1790866259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-782-5887",
            "fax_number": "406-782-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-782-5887",
            "fax_number": "406-782-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/PT",
        "authorized_official_telephone_number": "406-782-5887",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790866259",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbie Jean Carver
• Sue Anne Casey, MSW LCSW
• Cassandra Sue Cassidy, LCPC
• CCCS Smart Program
• Center for Family Health, LLC
• David P Chamberlain, M.D.
• James D. Chambers, CRNA
• Michael Edward Beltran Chan, M.D.
• Kathleen Chavis, LCPC, LAC
• Lisa M Choquette, MS, LCPC

• Physical Therapy Clinic/Center in Butte, MT
• Providers in Butte, MT by specialty
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.