Dennis Lynn McCrea, PT
Individual provider Active NPI Physical Therapist · Missoula, MT
NPI 1821075466 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1821075466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1253 (MT)
- Practice address
- 5000 Blue Mountain Rd
Missoula, MT 59804-9213 - Phone
- (406) 251-2323
- Fax
- (406) 251-2999
- NPI assigned
- Dec 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dodge Works PT, Inc Dba Alpine Physical Therapy
Practice addresses (Care Compare)
5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone (406) 251-2323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000791 | MT | Practitioner - Physical Therapist in Private Practice | 5597930446 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206 | AK | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodge Works PT, Inc Dba Alpine Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Dodge Works PT, Inc Dba Alpine Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| North Pole Physical Therapy, Inc | Past |
Accepting new patients |
Locations
5000 Blue Mountain Rd
Missoula, MT 59804
Phone (406) 251-2323
150 E Spruce St
Ste A
Missoula, MT 59802
Phone (406) 549-0064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1253 | MT | Yes |
Addresses
Primary practice location
5000 Blue Mountain Rd
Missoula, MT 59804-9213
Mailing address
5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone (406) 251-2323
Other providers in Missoula, MT
- Heidi McCormick
- Janel D McCormick
- Nancy Lorraine McCourt
- Craig William McCoy
- Emily Anne McCrea Ployhar
- Lauren McCrillis
- Timothy J McCue
- Robert C McDevitt
- Kimberly Rae McDonald-Markuson
- Ashley Rae McDonald
All providers in Missoula, MT · Physical Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.