NPIMap

Organization Active NPI

Lone Peak Physical Therapy Inc

  • Physical Therapist
  • Big Sky, MT
National Provider Identifier
1891849022
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LONE PEAK PHYSICAL THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
John C Boersma, MPTNPI 1598847444
Title
Owner
Phone
(406) 995-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory
Tax ID family
Lone Peak Physical Therapy5 organizations share this tax ID, including this one
Part of
Lone Peak Physical Therapy

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Bridger Center Dr
Ste A
Bozeman, MT 59715
Phone (406) 551-9077

123 Homestake Dr
Ste B
Bozeman, MT 59718

536 S Cottonwood Rd
Ste 103
Bozeman, MT 59718
Phone (406) 548-6266

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1891849022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11629",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597191629",
            "telephone_number": "406-522-7488",
            "fax_number": "406-522-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 TOWN CENTER AVE",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "59716",
            "telephone_number": "406-995-7525",
            "fax_number": "406-995-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONE PEAK PHYSICAL THERAPY INC",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "BOERSMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-995-7525",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Sky, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.