Mountain Land Performance LC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOUNTAIN LAND PERFORMANCE LC

Practice address

2045 Broadwater Ave
Suite 3
Billings, MT 59102-4863

Phone

(406) 656-0950

Fax

(406) 656-0970

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Anderson, PT

Title

President

Phone

(801) 942-3311

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 276525

Legal name

MOUNTAIN LAND REHABILITATION INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Mar 2, 2017

Last certification

Mar 2, 2017

Ownership / control type

Proprietary

Facility address

2045 Broadwater Ave Ste 3
Billings, MT 59102

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angie Marie Kolar

  • Physical Therapist
  • Bozeman, MT
  • NPI 1891803359
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1902813637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84171",
            "telephone_number": "801-942-3311",
            "fax_number": "801-942-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 BROADWATER AVE",
            "address_2": "SUITE 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024863",
            "telephone_number": "406-656-0950",
            "fax_number": "406-656-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAND PERFORMANCE LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-942-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Dorothy Moses, LCPC
• Jeffrey F Mosser, M.D.
• Milisa Mossett, MA, LCPC
• Motion Diagnostics
• Jessica Mount Shotwell
• Mountain Ridge Therapy PLLC
• Mountain Roots Counseling LLC
• Mountain View Counseling
• Mountain West Vision, PLLC
• Move More Performance - Wellness - Rehab

• Physical Therapist in Billings, MT
• Providers in Billings, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.