Personalized Performance Orthopedic Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERSONALIZED PERFORMANCE ORTHOPEDIC PHYSICAL THERAPY PLLC

Practice address

719 SW Higgins Ave Apt A3
Missoula, MT 59803-1478

Phone

(970) 712-1471

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Ross Eckstein, DPT

Title

Owner/Physical Therapist

Phone

(970) 712-1471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1841996428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SW HIGGINS AVE APT A3",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031478",
            "telephone_number": "970-712-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SW HIGGINS AVE APT A3",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031478",
            "telephone_number": "970-712-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PERFORMANCE ORTHOPEDIC PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "ECKSTEIN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-712-1471",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Pepper, PHD, LPCC
• Ashley Pepper
• Jessie Jill Perry, DPT
• Justin Clarence Perry, MD
• Michael John Perry, LCSW
• Jo Scandrett Persons, RDH
• Katlyn Perugini, MA
• Walter Howard Peschel, M.D.
• Christina Peters, DPT
• Jeffrey Peters, PTA

• Physical Therapy Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.