NPIMap

Organization Active NPI

Alta Physical Therapy & Fitness Inc

  • Physical Therapy Clinic/Center
  • Bozeman, MT
National Provider Identifier
1801934211
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALTA PHYSICAL THERAPY & FITNESS INC
Practice address
4739 Meadow LN
Bozeman, MT 59715-9631
Phone
(406) 586-2686
Fax
(406) 586-2686
NPI assigned
Feb 1, 2007
Organization subpart
No

Practitioners 13

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

View all 13

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000400 MT Part B Supplier - Clinic/Group Practice 7618918301 Receives reassigned benefits from 3 practitioners
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

81 8th St
Ste 9
Belgrade, MT 59714
Phone (406) 388-1439

5 E Baxter Ln
Bozeman, MT 59715
Phone (406) 586-2772

2430 N 7th Ave
Ste 2
Bozeman, MT 59715
Phone (406) 586-2772

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Michele M SimardNPI 1316085715
Title
President/ PT
Phone
(406) 220-0307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4739 Meadow LN
Bozeman, MT 59715-9631

Mailing address

4739 Meadow LN
Bozeman, MT 59715-9631
Phone (406) 586-2686

Other identifiers 1

IdentifierTypeStateIssuer
MSF1154535MedicaidMT

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1801934211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 MEADOW LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159631",
            "telephone_number": "406-586-2686",
            "fax_number": "406-586-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 MEADOW LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159631",
            "telephone_number": "406-586-2686",
            "fax_number": "406-586-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA PHYSICAL THERAPY & FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "SIMARD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ PT",
        "authorized_official_telephone_number": "406-220-0307"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSF1154535",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.