NPIMap

Organization Active NPI

Montana Spine & Joint Rehab, Inc

  • Physical Therapy Clinic/Center
  • Helena, MT
National Provider Identifier
1962532846
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MONTANA SPINE & JOINT REHAB, INC
Practice address
2748 Colonial Dr
Suite a
Helena, MT 59601-4947
Phone
(406) 443-1122
Fax
(406) 443-1144
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Sherri E GomesNPI 1679527261
Title
Vice President/Shareholder
Phone
(406) 443-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X MT1068 MT
Physical Therapy Clinic/Center 261QP2000X MT1243 MT
Physical Therapy Clinic/Center 261QP2000X MT1481 MT
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2748 Colonial Dr
Suite a
Helena, MT 59601-4947

Mailing address

2748 Colonial Dr
Suite a
Helena, MT 59601-4947
Phone (406) 443-1122

Other identifiers 2

IdentifierTypeStateIssuer
1962532846MedicaidMT
1962532846OtherMTNPI # FOR THE GROUP

Other names 1

  • Nash Spine & Joint Rehabilitation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612001555 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375592397 Receives reassigned benefits from 6 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

2001 11th Ave
Ste 1
Helena, MT 59601
Phone (406) 431-1152

2748 Colonial Dr
Ste A
Helena, MT 59601
Phone (406) 443-1122

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1962532846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 COLONIAL DR",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014947",
            "telephone_number": "406-443-1122",
            "fax_number": "406-443-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 COLONIAL DR",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014947",
            "telephone_number": "406-443-1122",
            "fax_number": "406-443-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA SPINE & JOINT REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT/SHAREHOLDER",
        "authorized_official_telephone_number": "406-443-1122"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "MT1068",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "MT1243",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "MT1481",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962532846",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # FOR THE GROUP",
            "identifier": "1962532846",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nash Spine & Joint Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.