Active NPI
Cortnee S Gunlock, DPT
- Physical Therapist
- Ronan, MT
National Provider Identifier
1841280419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1800PT
- Practice address
- 107 6TH Ave SW
Ronan, MT 59864-2634 - Phone
- (406) 676-4441
- Fax
- (406) 676-0835
- NPI assigned
- Oct 25, 2005
- Last updated
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1800PT | MT | Primary |
Addresses
Primary practice location
107 6TH Ave SW
Ronan, MT 59864-2634
Mailing address
107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841280419 | Medicaid | MT | |
| 62088 | Other | MT | BCBS OF MT PROVIDER # |
| 0229573 | Other | MT | WASHINGTON STATE DEPT OF LABOR & INDUSTRY |
| MSF1224957 | Other | MT | MT STATE WORK COMP |
Other names 1
- Prof. Cortnee S Gunlock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1800PT | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Rehabilitation Associates, Inc | Physical Therapist | Past | Accepting new patients |
| Professional Therapy Associates | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Professional Therapy Associates
- Physical Therapist
- Kalispell, MT
- NPI 1497752232
-
- Physical Therapist
- Kalispell, MT
- NPI 1649269358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1841280419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642634",
"telephone_number": "406-676-4441",
"fax_number": "406-676-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642634",
"telephone_number": "406-676-4441",
"fax_number": "406-676-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNLOCK",
"first_name": "CORTNEE",
"middle_name": "S",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1800PT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841280419",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT PROVIDER #",
"identifier": "62088",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPT OF LABOR & INDUSTRY",
"identifier": "0229573",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE WORK COMP",
"identifier": "MSF1224957",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORTNEE",
"last_name": "GUNLOCK",
"middle_name": "S",
"prefix": "PROF.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.