Sophia Decleene

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

100 Bridger Center Dr Ste a
Bozeman, MT 59715-2288

Phone

(406) 551-9077

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By 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

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lone Peak Physical Therapy Inc.

  dba Lone Peak Physical Therapy

  • Physical Therapist
  • Big Sky, MT
  • NPI 1477678969
  Medicare reassignment Care Compare group NPD
• Lone Peak Physical Therapy Inc

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1740070564

  Physical Therapist

  NPD
• Lone Peak Physical Therapy, Inc.

  • Occupational Therapist
  • Bozeman, MT
  • NPI 1619305752

  Physical Therapist

  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1801637715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRIDGER CENTER DR STE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152288",
            "telephone_number": "406-551-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLEENE",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dearing, PT
• Ronald E Dearmond, DDS
• Joanna Lynn Dearros, COTA/L
• Elizabeth Blue Deats
• Vicki Joy Deboer, LCSW
• Brett Jay Decou, D.C.
• Elizabeth Jennie Defanti
• Paloma Regina Defuentes, N.D.
• Lani Cook Deibert, DMD
• Mark C Deibert, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.