Bullhead Physical Therapy Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5387 Issued in AZ

Legal business name

BULLHEAD PHYSICAL THERAPY CENTER, LLC

Practice address

2767 Silver Creek Rd
Suite B
Bullhead City, AZ 86442-8227

Phone

(928) 704-2194

Fax

(928) 704-2195

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bhanu Montgomery, P.T.NPI 1861618993

Title

Physical Therapist

Phone

(928) 234-1193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhanu Montgomery, P.T.

  • Physical Therapist
  • Bullhead City, AZ
  • NPI 1861618993
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1861745671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 SILVER CREEK RD",
            "address_2": "SUITE B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428227",
            "telephone_number": "928-704-2194",
            "fax_number": "928-704-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 SILVER CREEK RD",
            "address_2": "SUITE B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428227",
            "telephone_number": "928-704-2194",
            "fax_number": "928-704-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLHEAD PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BHANU",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-234-1193",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bullhead City Hospital Corporation (Western Arizona Regional Medical Center)
• Bullhead City Hospital Corporation (Western Arizona Regional Medical Center)
• Bullhead City Hospital Corporation (Fox Creek Urgent Care)
• Bullhead City Senior Living, LLC (Joshua Springs Senior Living)
• Bullhead Family Medical LLC
• Bullhead Primary Care, LLC (Bullhead Primary Care)
• Bullhead Urgent Care Corp (Bullhead Urgent Care Center)
• Jonathan Burch, M.A., L.P.C.
• Kerry D Burgess, DMD
• Kim A Butler, P.A.-C

• Physical Therapy Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.