Lone Peak Physical Therapy Inc
Organization Active NPI Physical Therapist · Big Sky, MT
NPI 1891849022 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1891849022
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- LONE PEAK PHYSICAL THERAPY INC
- Practice address
- 334 Town Center Ave
Big Sky, MT 59716 - Phone
- (406) 995-7525
- Fax
- (406) 995-7528
- NPI assigned
- Jan 23, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- LONE PEAK PHYSICAL THERAPY INC
Authorized official
- Name
- John C Boersma, MPT
- Title
- Owner
- Phone
- (406) 995-7525
Corporate family (same tax ID) 4
Practitioners 5
-
James Raymond Gustafson, O.T.
-
Victoria N. St. Don, D.P.T.
-
Michael Vannatta, D.P.T.
National Provider Directory
- Tax ID family
- Lone Peak Phys Therapy Inc
- Part of
- Lone Peak Phys Therapy Inc
Locations
29 Pioneer Way
Bozeman, MT 59718
Phone (406) 585-9044
630 Boardwalk Ave
Ste 1
Bozeman, MT 59718
Phone (406) 548-6266
135 Prospect Loop
Bozeman, MT 59718
Phone (406) 585-9044
536 S Cottonwood Rd
Ste 103
Bozeman, MT 59718
Phone (406) 548-6266
123 Homestake Dr
Ste B
Bozeman, MT 59718
2600 Winne Ave
Ste A
Helena, MT 59601
Phone (406) 422-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
334 Town Center Ave
Big Sky, MT 59716
Mailing address
PO Box 11629
Bozeman, MT 59719-1629
Phone (406) 522-7488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477678969 | Medicaid | MT |
Other providers in Big Sky, MT
- Philip Alan Hess
- Emily Christine Holthaus
- Robert Jensen
- Kira Elizabeth Kamrud
- Jeanne Lightbody
- Lone Peak Physical Therapy Inc.
- Tyler Martinez
- Elizabeth A McClure
- Gregory Michael McCormick
- Casey McGowan
All providers in Big Sky, 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 Mar 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.