Active NPI
Lone Peak Physical Therapy Inc
- Durable Medical Equipment & Medical Supplies
- Billings, MT
National Provider Identifier
1811700305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LONE PEAK PHYSICAL THERAPY INC
- Practice address
- 1741 Grand Ave
Billings, MT 59102-2937 - Phone
- (406) 969-6610
- Fax
- (406) 969-6611
- NPI assigned
- Jan 29, 2025
- Last updated
- Jan 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bo Selvig
- Title
- Ceo
- Phone
- (406) 589-4588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1741 Grand Ave
Billings, MT 59102-2937
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (812) 759-7451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250502002015 | MT | DME Supplier - Independently-Practicing Physical Therapist | 5193637262 | Practice locations: Billings, MT |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1740070564
5193637262
-
dba Lone Peak Physical Therapy
- Physical Therapist
- Big Sky, MT
- NPI 1477678969
5193637262
National Provider Directory
National Provider Directory- Tax ID family
- Lone Peak Physical Therapy
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1740070564
-
- Physical Therapist
- Big Sky, MT
- NPI 1891849022
-
dba Lone Peak Physical Therapy
- Physical Therapist
- Big Sky, MT
- NPI 1477678969
-
- Physical Therapist
- Bozeman, MT
- NPI 1023496320
Locations
1741 Grand Ave
Billings, MT 59102
Phone (406) 969-6610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1811700305",
"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": "812-759-7451",
"fax_number": "812-590-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 GRAND AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591022937",
"telephone_number": "406-969-6610",
"fax_number": "406-969-6611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONE PEAK PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "SELVIG",
"authorized_official_first_name": "BO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "406-589-4588"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.