NPIMap

Organization Active NPI

C & C Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Great Falls, MT
National Provider Identifier
1801073929
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
621 Issued in MT
Legal business name
C & C PHYSICAL THERAPY AND SPORTS REHAB LLC
Practice address
2119 10TH Ave South
Great Falls, MT 59405-2863
Phone
(406) 452-0001
Fax
(406) 452-0002
NPI assigned
Jan 31, 2008
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
David A Caldwell, MPTNPI 1740279447
Title
Owner Therapist
Phone
(406) 452-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 223 MT
Physical Therapist 225100000X 621 MT Primary

Addresses

Primary practice location

2119 10TH Ave South
Great Falls, MT 59405-2863

Mailing address

2119 10TH Ave South
Great Falls, MT 59405-2863
Phone (406) 452-0001

National Provider Directory

National Provider Directory

Locations

2119 10th Ave S
Great Falls, MT 59405
Phone (406) 452-0001

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1801073929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 10TH AVE SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052863",
            "telephone_number": "406-452-0001",
            "fax_number": "406-452-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 10TH AVE SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052863",
            "telephone_number": "406-452-0001",
            "fax_number": "406-452-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C PHYSICAL THERAPY AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "406-452-0001",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "223",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.